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B-type natriuretic peptide as a predictor of anterior wall location in patients with non-ST-elevation myocardial infarction
OBJECTIVE: Involvement of the left ventricular anterior wall in ST-elevation myocardial infarction has a worse prognosis compared with other regions. In non-ST-elevation myocardial infarction, noninvasive methods of locating the ischemic myocardial territory have been limited. The objective of this...
Autores principales: | , , , , |
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Formato: | Texto |
Lenguaje: | English |
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Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3072005/ https://www.ncbi.nlm.nih.gov/pubmed/21552669 http://dx.doi.org/10.1590/S1807-59322011000300013 |
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author | Ramos, Rogério Bicudo Strunz, Célia M Avakian, Solange Desirée Ramires, José Antonio de Padua Mansur, Antonio |
author_facet | Ramos, Rogério Bicudo Strunz, Célia M Avakian, Solange Desirée Ramires, José Antonio de Padua Mansur, Antonio |
author_sort | Ramos, Rogério Bicudo |
collection | PubMed |
description | OBJECTIVE: Involvement of the left ventricular anterior wall in ST-elevation myocardial infarction has a worse prognosis compared with other regions. In non-ST-elevation myocardial infarction, noninvasive methods of locating the ischemic myocardial territory have been limited. The objective of this report is therefore to determine what factors are predictive of the anterior location of the ischemic myocardial territory. METHODS: This study included 170 patients with non-ST-elevation myocardial infarction. Clinical, echocardiographic, and laboratory characteristics, including B-type natriuretic peptide measured within 24 hours of hospitalization, and coronary angiographic features were analyzed. RESULTS: The mean age was 64.5 ± 12.3 years, and 112 of the patients were male (66%). The median follow-up was 23 months. The territory involved, as determined from the angiogram, was divided into anterior [n = 80 (47%)] regions and inferior and lateral [n = 90 (53%)] regions. Multivariate analysis showed that B-type natriuretic peptide was the only independent predictor of an anterior wall infarct [OR = 3.70 (95% CI: 1.61 – 8.53); P = 0.002] in non-ST-elevation myocardial infarction patients. Multivariate analysis also showed that B-type natriuretic peptide was an independent predictor of in-hospital cardiac events during index admission [OR = 5.05 (95% CI: 1.49 – 17.12); P = 0.009] and of cardiac events occurring during follow-up [HR = 1.79 (95% CI: 1.05 – 3.04); P = 0.032]. CONCLUSIONS: B-type natriuretic peptide was the only factor independently associated with anterior wall involvement in non-ST-elevation myocardial infarction, and the peptide levels upon admission predicted in-hospital and subsequent cardiac events. |
format | Text |
id | pubmed-3072005 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo |
record_format | MEDLINE/PubMed |
spelling | pubmed-30720052011-04-08 B-type natriuretic peptide as a predictor of anterior wall location in patients with non-ST-elevation myocardial infarction Ramos, Rogério Bicudo Strunz, Célia M Avakian, Solange Desirée Ramires, José Antonio de Padua Mansur, Antonio Clinics (Sao Paulo) Clinical Science OBJECTIVE: Involvement of the left ventricular anterior wall in ST-elevation myocardial infarction has a worse prognosis compared with other regions. In non-ST-elevation myocardial infarction, noninvasive methods of locating the ischemic myocardial territory have been limited. The objective of this report is therefore to determine what factors are predictive of the anterior location of the ischemic myocardial territory. METHODS: This study included 170 patients with non-ST-elevation myocardial infarction. Clinical, echocardiographic, and laboratory characteristics, including B-type natriuretic peptide measured within 24 hours of hospitalization, and coronary angiographic features were analyzed. RESULTS: The mean age was 64.5 ± 12.3 years, and 112 of the patients were male (66%). The median follow-up was 23 months. The territory involved, as determined from the angiogram, was divided into anterior [n = 80 (47%)] regions and inferior and lateral [n = 90 (53%)] regions. Multivariate analysis showed that B-type natriuretic peptide was the only independent predictor of an anterior wall infarct [OR = 3.70 (95% CI: 1.61 – 8.53); P = 0.002] in non-ST-elevation myocardial infarction patients. Multivariate analysis also showed that B-type natriuretic peptide was an independent predictor of in-hospital cardiac events during index admission [OR = 5.05 (95% CI: 1.49 – 17.12); P = 0.009] and of cardiac events occurring during follow-up [HR = 1.79 (95% CI: 1.05 – 3.04); P = 0.032]. CONCLUSIONS: B-type natriuretic peptide was the only factor independently associated with anterior wall involvement in non-ST-elevation myocardial infarction, and the peptide levels upon admission predicted in-hospital and subsequent cardiac events. Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo 2011-03 /pmc/articles/PMC3072005/ /pubmed/21552669 http://dx.doi.org/10.1590/S1807-59322011000300013 Text en Copyright © 2011 Hospital das Clínicas da FMUSP http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Science Ramos, Rogério Bicudo Strunz, Célia M Avakian, Solange Desirée Ramires, José Antonio de Padua Mansur, Antonio B-type natriuretic peptide as a predictor of anterior wall location in patients with non-ST-elevation myocardial infarction |
title | B-type natriuretic peptide as a predictor of anterior wall location in patients with non-ST-elevation myocardial infarction |
title_full | B-type natriuretic peptide as a predictor of anterior wall location in patients with non-ST-elevation myocardial infarction |
title_fullStr | B-type natriuretic peptide as a predictor of anterior wall location in patients with non-ST-elevation myocardial infarction |
title_full_unstemmed | B-type natriuretic peptide as a predictor of anterior wall location in patients with non-ST-elevation myocardial infarction |
title_short | B-type natriuretic peptide as a predictor of anterior wall location in patients with non-ST-elevation myocardial infarction |
title_sort | b-type natriuretic peptide as a predictor of anterior wall location in patients with non-st-elevation myocardial infarction |
topic | Clinical Science |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3072005/ https://www.ncbi.nlm.nih.gov/pubmed/21552669 http://dx.doi.org/10.1590/S1807-59322011000300013 |
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