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Effect of No-Reflow During Primary Percutaneous Coronary Intervention for Acute Myocardial Infarction on Six-Month Mortality

Brosh, David ; Assali, Abid R ; Mager, Aviv ; Porter, Avital ; Hasdai, David ; Teplitsky, Igal ; Rechavia, Eldad ; Fuchs, Shmuel ; Battler, Alexander ; Kornowski, Ran

The American Journal of Cardiology, 2007, Vol.99(4), pp.442-445 [Tạp chí có phản biện]

ISSN: 0002-9149 ; E-ISSN: 1879-1913 ; DOI: 10.1016/j.amjcard.2006.08.054

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  • Nhan đề:
    Effect of No-Reflow During Primary Percutaneous Coronary Intervention for Acute Myocardial Infarction on Six-Month Mortality
  • Tác giả: Brosh, David ; Assali, Abid R ; Mager, Aviv ; Porter, Avital ; Hasdai, David ; Teplitsky, Igal ; Rechavia, Eldad ; Fuchs, Shmuel ; Battler, Alexander ; Kornowski, Ran
  • Chủ đề: Medicine
  • Là 1 phần của: The American Journal of Cardiology, 2007, Vol.99(4), pp.442-445
  • Mô tả: No-reflow is a frequent event during percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI), and it may affect cardiac prognosis. We evaluated the occurrence of no-reflow as a predictor of outcomes in patients who underwent PCI for AMI. We prospectively collected data from 599 consecutive patients who underwent stent-based PCI for ST-elevation AMI by identifying those with no-reflow (Thrombosis In Myocardial Infarction [TIMI] grade <3 flow at completion of the procedure) and analyzing their baseline characteristics and clinical outcomes. Patients with no-reflow (n = 40, 6.7%) were older (67 ± 13 vs 60 ± 13 years, p = 0.002) and had longer ischemic times (5.5 ± 3.7 vs 4.4 ± 3.0 hours, p = 0.04) with more TIMI grade 0/1 flow at presentation (90% vs 64%, p = 0.001). No-reflow occurred mostly (73%) after stenting and often required intra-aortic balloon pump counterpulsation (30% vs 4.3%, p <0.001). Peak creatine kinase level was higher in patients with...
  • Ngôn ngữ: English
  • Số nhận dạng: ISSN: 0002-9149 ; E-ISSN: 1879-1913 ; DOI: 10.1016/j.amjcard.2006.08.054

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