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No-Reflow after PPCI—A Predictor of Short-Term Outcomes in STEMI Patients
The no-reflow phenomenon following primary percutaneous coronary intervention (PPCI) in acute ST-elevation myocardial infarction (STEMI) patients is a predictor of unfavorable prognosis. Patients with no-reflow have many complications during admission, and it is considered a marker of short-term mor...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7563881/ https://www.ncbi.nlm.nih.gov/pubmed/32932736 http://dx.doi.org/10.3390/jcm9092956 |
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author | Pantea-Roșan, Larisa Renata Pantea, Vlad Alin Bungau, Simona Tit, Delia Mirela Behl, Tapan Vesa, Cosmin Mihai Bustea, Cristiana Moleriu, Radu Dumitru Rus, Marius Popescu, Mircea Ioachim Turi, Vladiana Diaconu, Camelia Cristina |
author_facet | Pantea-Roșan, Larisa Renata Pantea, Vlad Alin Bungau, Simona Tit, Delia Mirela Behl, Tapan Vesa, Cosmin Mihai Bustea, Cristiana Moleriu, Radu Dumitru Rus, Marius Popescu, Mircea Ioachim Turi, Vladiana Diaconu, Camelia Cristina |
author_sort | Pantea-Roșan, Larisa Renata |
collection | PubMed |
description | The no-reflow phenomenon following primary percutaneous coronary intervention (PPCI) in acute ST-elevation myocardial infarction (STEMI) patients is a predictor of unfavorable prognosis. Patients with no-reflow have many complications during admission, and it is considered a marker of short-term mortality. The current research emphasizes the circumstances of the incidence and complications of the no-reflow phenomenon in STEMI patients, including in-hospital mortality. In this case-control study, conducted over two and a half years, there were enrolled 656 patients diagnosed with STEMI and reperfused through PPCI. Several patients (n = 96) developed an interventional type of no-reflow phenomenon. One third of the patients with a no-reflow phenomenon suffered complications during admission, and 14 succumbed. Regarding complications, the majority consisted of arrhythmias (21.68%) and cardiogenic shock (16.67%). The anterior localization of STEMI and the left anterior descending artery (LAD) as a culprit lesion were associated with the highest number of complications during hospitalization. At the same time, the time interval >12 h from the onset of the typical symptoms of myocardial infarction (MI) until revascularization, as well as multiple stents implantations during PPCI, correlated with an increased incidence of short-term complications. The no-reflow phenomenon in patients with STEMI was associated with an unfavorable short-term prognosis. |
format | Online Article Text |
id | pubmed-7563881 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-75638812020-10-27 No-Reflow after PPCI—A Predictor of Short-Term Outcomes in STEMI Patients Pantea-Roșan, Larisa Renata Pantea, Vlad Alin Bungau, Simona Tit, Delia Mirela Behl, Tapan Vesa, Cosmin Mihai Bustea, Cristiana Moleriu, Radu Dumitru Rus, Marius Popescu, Mircea Ioachim Turi, Vladiana Diaconu, Camelia Cristina J Clin Med Article The no-reflow phenomenon following primary percutaneous coronary intervention (PPCI) in acute ST-elevation myocardial infarction (STEMI) patients is a predictor of unfavorable prognosis. Patients with no-reflow have many complications during admission, and it is considered a marker of short-term mortality. The current research emphasizes the circumstances of the incidence and complications of the no-reflow phenomenon in STEMI patients, including in-hospital mortality. In this case-control study, conducted over two and a half years, there were enrolled 656 patients diagnosed with STEMI and reperfused through PPCI. Several patients (n = 96) developed an interventional type of no-reflow phenomenon. One third of the patients with a no-reflow phenomenon suffered complications during admission, and 14 succumbed. Regarding complications, the majority consisted of arrhythmias (21.68%) and cardiogenic shock (16.67%). The anterior localization of STEMI and the left anterior descending artery (LAD) as a culprit lesion were associated with the highest number of complications during hospitalization. At the same time, the time interval >12 h from the onset of the typical symptoms of myocardial infarction (MI) until revascularization, as well as multiple stents implantations during PPCI, correlated with an increased incidence of short-term complications. The no-reflow phenomenon in patients with STEMI was associated with an unfavorable short-term prognosis. MDPI 2020-09-12 /pmc/articles/PMC7563881/ /pubmed/32932736 http://dx.doi.org/10.3390/jcm9092956 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Pantea-Roșan, Larisa Renata Pantea, Vlad Alin Bungau, Simona Tit, Delia Mirela Behl, Tapan Vesa, Cosmin Mihai Bustea, Cristiana Moleriu, Radu Dumitru Rus, Marius Popescu, Mircea Ioachim Turi, Vladiana Diaconu, Camelia Cristina No-Reflow after PPCI—A Predictor of Short-Term Outcomes in STEMI Patients |
title | No-Reflow after PPCI—A Predictor of Short-Term Outcomes in STEMI Patients |
title_full | No-Reflow after PPCI—A Predictor of Short-Term Outcomes in STEMI Patients |
title_fullStr | No-Reflow after PPCI—A Predictor of Short-Term Outcomes in STEMI Patients |
title_full_unstemmed | No-Reflow after PPCI—A Predictor of Short-Term Outcomes in STEMI Patients |
title_short | No-Reflow after PPCI—A Predictor of Short-Term Outcomes in STEMI Patients |
title_sort | no-reflow after ppci—a predictor of short-term outcomes in stemi patients |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7563881/ https://www.ncbi.nlm.nih.gov/pubmed/32932736 http://dx.doi.org/10.3390/jcm9092956 |
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