Document Detail


Time to stable ST-segment recovery following primary angioplasty is predictive of regional wall motion score and clinical outcome.
MedLine Citation:
PMID:  20462897     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report the time to stable ST-segment reperfusion (TSTR) after primary angioplasty and its relationship with the clinical results; 137 patients who underwent primary angioplasty were included as part of the analysis. All patients had 24 hours ST-segment monitoring. Time to stable STR was defined as the beginning of ST-segment reperfusion (STR) lasting >4 hours without ST-segment reelevation. Six-month mortality was associated with slower TSTR (median 166.5 vs 6 minute, P = .001). Time to stable STR cutoff value of 136.5 minutes was identified as the best mortality predictor (area under the curve: 0.86, P = .001). Multivariate analysis identified Killip class > or = 2 (P = .042), TSTR cutoff value (P = .002), and final thrombolysis myocardial infarction (TIMI) flow grade III (P = .067) as predictors of 6-month mortality. Time to stable STR may be a novel continuous electrocardiogram (ECG) parameter following primary angioplasty, which can identify high-risk patients that need to be considered for additional treatments.
Authors:
Mariano Albertal; Fernando Cura; Jorge Thierer; Marcelo Trivi; Alejandro G Escudero; Lucio T Padilla; Jorge A Belardi
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial     Date:  2010-05-12
Journal Detail:
Title:  Angiology     Volume:  61     ISSN:  1940-1574     ISO Abbreviation:  Angiology     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-08     Completed Date:  2010-10-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0203706     Medline TA:  Angiology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  638-42     Citation Subset:  IM    
Affiliation:
Department of Interventional Cardiology and Endovascular Therapeutics, Instituto Cardiovascular de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina. marianoalbertal@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Angioplasty, Transluminal, Percutaneous Coronary
Coronary Angiography
Electrocardiography*
Hemofiltration / instrumentation
Humans
Male
Middle Aged
Myocardial Contraction
Myocardial Infarction / mortality,  therapy*
Myocardial Reperfusion*
Recovery of Function
Risk Assessment
Time Factors
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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