Single- and multivessel coronary disease associated with ST-segment elevation myocardial infarction. One-year outcomes
Journal Title: Postępy w Kardiologii Interwencyjnej - Year 2006, Vol 2, Issue 2
Abstract
Multivessel coronary disease (MCD) associated with ST segment elevation myocardial infarction (STEMI) deteriorates the clinical outcome. Data on patients with acute myocardial infarction (AMI) and MCD treated with percutaneous coronary interventions (PCI) are limited. Material and methods: A total of 3190 consecutive pts with AMI were included in the analysis. After coronary angiography MCD was diagnosed in 1751 (54.9%) pts. Infarct related artery (IRA) was treated with immediate PCI in both groups. Results: Differences in clinical characteristics were as follows: pts with MCD were older and time from onset to PCI was longer. Hypertension, diabetes mellitus, previous infarction and cardiogenic shock on admission were more frequent in this group and similarly TIMI 0-1 flow was in the initial angiogram. Anterior infarction, preceding thrombolysis and smoking were less frequent. The optimal angiographic effect was achieved more frequently by pts with single vessel coronary disease (SCD). Hospitalization was longer and LVEF was lower in MCD pts group. In-hospital and 1-year mortality was higher (3.5 vs 9.3%, p
Authors and Affiliations
Tadeusz Zębik, Mariusz Gąsior, Zbigniew Kalarus, Tomasz Wąs, Marek Gierlotka, Andrzej Lekston, Krzysztof Wilczek, Michał Hawranek, Jarosław Wasilewski, Przemysław Trzeciak, Mateusz Tajstra, Marian Zembala, Lech Poloński
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