Impact of Coronary Collateral Circulation on In-Hospital Death in Patients with Inferior ST Elevation Myocardial Infarction
Joint Authors
Ede, Huseyin
Yaylak, Baris
Altintas, Bernas
Baysal, Erkan
Akyuz, Sukru
Bilge, Onder
Sevuk, Utkan
Erdogan, Guney
Ciftci, Haci
Source
Cardiology Research and Practice
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-11-25
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Objectives.
Coronary collateral circulation (CCC) may limit the size of right ventricular (RV) infarcts but does not fully explain the relationship between CCC and clinical adverse events in patients with inferior STEMI.
In this study, it was aimed to assess the relationship between preintervention angiographic evidence of CCC and clinical outcomes in patients with inferior STEMI who have undergone percutaneous coronary intervention.
Methods.
A total of 235 inferior STEMI patients who presented within the first 12 hours from the symptom onset were included.
CCC to the right coronary artery (RCA) before angioplasty were angiographically assessed, establishing two groups: 147 (63%) patients without CCC and 88 (37%) with CCC according to presence of CCC.
Results.
RV infarction, complete atrioventricular block, VT/VF, cardiogenic shock, and in-hospital death were noted less frequently in patients with CCC than in those without CCC.
Absence of CCC to RCA was found to be the independent predictor for in-hospital death among them (odds ratio 4.0, 95% CI 1.8–12.6; p=0.03).
Conclusion.
Presence of angiographically detectable CCC was associated with better in-hospital outcomes including RV infarction, complete AV block, cardiogenic shock, and VT/VF in patients with inferior STEMI.
American Psychological Association (APA)
Yaylak, Baris& Altintas, Bernas& Ede, Huseyin& Baysal, Erkan& Akyuz, Sukru& Bilge, Onder…[et al.]. 2015. Impact of Coronary Collateral Circulation on In-Hospital Death in Patients with Inferior ST Elevation Myocardial Infarction. Cardiology Research and Practice،Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1060354
Modern Language Association (MLA)
Yaylak, Baris…[et al.]. Impact of Coronary Collateral Circulation on In-Hospital Death in Patients with Inferior ST Elevation Myocardial Infarction. Cardiology Research and Practice No. 2015 (2015), pp.1-7.
https://search.emarefa.net/detail/BIM-1060354
American Medical Association (AMA)
Yaylak, Baris& Altintas, Bernas& Ede, Huseyin& Baysal, Erkan& Akyuz, Sukru& Bilge, Onder…[et al.]. Impact of Coronary Collateral Circulation on In-Hospital Death in Patients with Inferior ST Elevation Myocardial Infarction. Cardiology Research and Practice. 2015. Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1060354
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1060354