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Predictores de fenómeno de no reflujo en infarto agudo del miocardio con elevación del segmento ST
BACKGROUND: No-reflow (NR) phenomenon is one of the most feared complications after percutaneous coronary intervention (PCI) in the treatment of ST-segment elevation myocardial infarction (STEMI) due to its high morbidity and mortality. OBJECTIVE: To describe the predictive factors for NR phenomenon...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Permanyer Publications
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9681523/ https://www.ncbi.nlm.nih.gov/pubmed/36413699 http://dx.doi.org/10.24875/ACM.21000346 |
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author | Ruíz-Avalos, Jesús A. Bazán-Rodríguez, Lisette Espinoza-Escobar, Gabriela Martínez-Villa, Francisco A. Ornelas-Aguirre, José M. |
author_facet | Ruíz-Avalos, Jesús A. Bazán-Rodríguez, Lisette Espinoza-Escobar, Gabriela Martínez-Villa, Francisco A. Ornelas-Aguirre, José M. |
author_sort | Ruíz-Avalos, Jesús A. |
collection | PubMed |
description | BACKGROUND: No-reflow (NR) phenomenon is one of the most feared complications after percutaneous coronary intervention (PCI) in the treatment of ST-segment elevation myocardial infarction (STEMI) due to its high morbidity and mortality. OBJECTIVE: To describe the predictive factors for NR phenomenon in a group of subjects with STEMI treated with PCI. METHOD: One hundred and three cases of STEMI who underwent PCI. The subjects were divided according to the presence of NR phenomenon. In a multivariate analysis age, gender, comorbidities, weight, and other clinical and laboratory parameters were studied as predictors of NR phenomenon were studied. RESULTS: In this study, logistic regression analysis identified as independent factors for the development of NR phenomenon baseline TIMI flow ≤ 2 (OR 6.03; 95% CI, 0.9 to 11.8; p = 0.04), ER KDIGO ≥ 3 (OR OR 2.61; 95% CI, 1.0 to 2.4; p = 0.04). CONCLUSIONS: NR phenomenon continues to be a challenge for short and long-term morbidity and mortality in STEMI. The identified factors can be used for the stratification of cases with STEMI and risk of NR phenomenon prior to PCI. |
format | Online Article Text |
id | pubmed-9681523 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Permanyer Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-96815232022-11-23 Predictores de fenómeno de no reflujo en infarto agudo del miocardio con elevación del segmento ST Ruíz-Avalos, Jesús A. Bazán-Rodríguez, Lisette Espinoza-Escobar, Gabriela Martínez-Villa, Francisco A. Ornelas-Aguirre, José M. Arch Cardiol Mex Artículo De Investigación BACKGROUND: No-reflow (NR) phenomenon is one of the most feared complications after percutaneous coronary intervention (PCI) in the treatment of ST-segment elevation myocardial infarction (STEMI) due to its high morbidity and mortality. OBJECTIVE: To describe the predictive factors for NR phenomenon in a group of subjects with STEMI treated with PCI. METHOD: One hundred and three cases of STEMI who underwent PCI. The subjects were divided according to the presence of NR phenomenon. In a multivariate analysis age, gender, comorbidities, weight, and other clinical and laboratory parameters were studied as predictors of NR phenomenon were studied. RESULTS: In this study, logistic regression analysis identified as independent factors for the development of NR phenomenon baseline TIMI flow ≤ 2 (OR 6.03; 95% CI, 0.9 to 11.8; p = 0.04), ER KDIGO ≥ 3 (OR OR 2.61; 95% CI, 1.0 to 2.4; p = 0.04). CONCLUSIONS: NR phenomenon continues to be a challenge for short and long-term morbidity and mortality in STEMI. The identified factors can be used for the stratification of cases with STEMI and risk of NR phenomenon prior to PCI. Permanyer Publications 2022 2022-10-20 /pmc/articles/PMC9681523/ /pubmed/36413699 http://dx.doi.org/10.24875/ACM.21000346 Text en Copyright: © 2022 Permanyer https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License |
spellingShingle | Artículo De Investigación Ruíz-Avalos, Jesús A. Bazán-Rodríguez, Lisette Espinoza-Escobar, Gabriela Martínez-Villa, Francisco A. Ornelas-Aguirre, José M. Predictores de fenómeno de no reflujo en infarto agudo del miocardio con elevación del segmento ST |
title | Predictores de fenómeno de no reflujo en infarto agudo del miocardio con elevación del segmento ST |
title_full | Predictores de fenómeno de no reflujo en infarto agudo del miocardio con elevación del segmento ST |
title_fullStr | Predictores de fenómeno de no reflujo en infarto agudo del miocardio con elevación del segmento ST |
title_full_unstemmed | Predictores de fenómeno de no reflujo en infarto agudo del miocardio con elevación del segmento ST |
title_short | Predictores de fenómeno de no reflujo en infarto agudo del miocardio con elevación del segmento ST |
title_sort | predictores de fenómeno de no reflujo en infarto agudo del miocardio con elevación del segmento st |
topic | Artículo De Investigación |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9681523/ https://www.ncbi.nlm.nih.gov/pubmed/36413699 http://dx.doi.org/10.24875/ACM.21000346 |
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