Document Detail

Erythrocyte sedimentation rate in acute myocardial infarction as a predictor of poor prognosis and impaired reperfusion.
MedLine Citation:
PMID:  22926349     Owner:  NLM     Status:  MEDLINE    
AIM: To investigate whether the elevated erythrocyte sedimentation rate (ESR) is associated with an adverse prognosis in the patients with ST-segment elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PCI).
METHODS: It included 140 consecutive patients undergoing primary PCI for acute STEMI, 12 hours after symptom beginning and 50 healthy age and sex matched control subjects. All patients were categorized into two groups defined by the median ESR level on admission. These two groups were compared in terms of myocardial perfusion, and one year outcomes.
RESULTS: Levels of ESR were higher in patients with STEMI than in the healthy group. Patients in the elevated ESR group had a higher incidence of impaired angiographic reperfusion compared to patients in the lower ESR group (Mean TIMI frame count; 25.5 ± 6.5 versus 20.4 ± 5.2, p0.01, TMPG 0-2; 55 % versus 29%, p0.01). In-hospital and one-year mortality rates were significantly higher in patients with higher ESR. In-hospital and one-year MACE rates were significantly greater in elevated ESR group (14%-26), compared to the lower ESR group (4%-13%). Increased ESR levels on admission emerged as independent predictors of long term prognosis. The ROC analysis revealed an optimal cut-point of ≥ 33 mm/h, detected 1 year mortality with a negative predictive value of 96%.
CONCLUSION: The high admission ESR levels are found to be related with impaired coronary flow in patients undergoing primary PCI that possibly contribute to poor short- and long-term prognosis. Therefore, admission ESR evaluation may be helpful in identifying patients with a poor prognosis.
Mehmet Fatih Ozlu; Nihat Sen; Mehmet Fatih Karakas; Osman Turak; Firat Ozcan; Selcuk Kanat; Dursun Aras; Serkan Topaloglu; Kumral Cagli; Mehmet Timur Selcuk
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Medicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia and Herzegovina     Volume:  9     ISSN:  1840-0132     ISO Abbreviation:  Med Glas (Zenica)     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-08-28     Completed Date:  2012-11-01     Revised Date:  2013-02-04    
Medline Journal Info:
Nlm Unique ID:  101250177     Medline TA:  Med Glas (Zenica)     Country:  Bosnia and Hercegovina    
Other Details:
Languages:  eng     Pagination:  189-97     Citation Subset:  IM    
Department of Cardiology, Abant Izzet Baysal University, School of Medicine, Bolu, Turkey.
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MeSH Terms
Angioplasty, Balloon, Coronary
Blood Sedimentation*
Coronary Angiography
Coronary Circulation
Middle Aged
Myocardial Infarction / blood*,  physiopathology,  radiography,  therapy

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