open access

Vol 65, No 1 (2007)
Other
Published online: 2007-01-25
Submitted: 2012-12-28
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Original article
Comparison of prognostic value of epicardial blood flow and early ST-segment resolution after primary coronary angioplasty. ANIN – Myocardial Infarction Registry

Łukasz Kalińczuk, Jakub Przyłuski, Maciej Karcz, Joanna Petryka, Edyta Kaczmarska, Paweł Bekta, Cezary Kępka, Mariusz Kruk, Jerzy Pręgowski, Jacek Kądziela, Tomasz Deptuch, Mirosław Skwarek, Krzysztof Cedro, Michał Ciszewski, Artur Dębski, Andrzej Ciszewski, Zbigniew Chmielak, Marcin Demkow, Adam Witkowski, Witold Rużyłło
Kardiol Pol 2007;65(1):1-10.

open access

Vol 65, No 1 (2007)
Other
Published online: 2007-01-25
Submitted: 2012-12-28

Abstract


Background: TIMI scale is commonly used for angiographic assessment of reperfusion effectiveness and early risk stratification in patients treated with primary angioplasty for ST-elevation myocardial infarction (STEMI). Since ST-resolution analysis allows a noninvasive insight into the reperfusion status at the myocardial tissue level, it may be a better predictor of outcome after primary angioplasty.
Aim: To compare the prognostic value of the reperfusion effectiveness evaluation based on either the epicardial blood flow assessment according to the TIMI scale, or ST-segment resolution analysis in patients treated with primary coronary angioplasty for STEMI.
Methods: 324 consecutive patients treated within 12 hours from the pain onset were studied. Based on the analysis of maximal ST-segment elevation/depression identified in a single ECG lead recorded after the procedure (maxSTE), patients were classified into groups of high versus medium/low risk. Independently, distinguished were groups with restored normal (TIMI 3) and abnormal (TIMI 0-2) final blood flow in infarct related artery.
Results: The 30-day and one-year mortality rates were higher in the high-risk maxSTE group (25% of all patients) than in the other patients (14.8% vs. 2.5%, p

Abstract


Background: TIMI scale is commonly used for angiographic assessment of reperfusion effectiveness and early risk stratification in patients treated with primary angioplasty for ST-elevation myocardial infarction (STEMI). Since ST-resolution analysis allows a noninvasive insight into the reperfusion status at the myocardial tissue level, it may be a better predictor of outcome after primary angioplasty.
Aim: To compare the prognostic value of the reperfusion effectiveness evaluation based on either the epicardial blood flow assessment according to the TIMI scale, or ST-segment resolution analysis in patients treated with primary coronary angioplasty for STEMI.
Methods: 324 consecutive patients treated within 12 hours from the pain onset were studied. Based on the analysis of maximal ST-segment elevation/depression identified in a single ECG lead recorded after the procedure (maxSTE), patients were classified into groups of high versus medium/low risk. Independently, distinguished were groups with restored normal (TIMI 3) and abnormal (TIMI 0-2) final blood flow in infarct related artery.
Results: The 30-day and one-year mortality rates were higher in the high-risk maxSTE group (25% of all patients) than in the other patients (14.8% vs. 2.5%, p
Get Citation

Keywords

TIMI; normalizacja uniesionego odcinka ST

About this article
Title

Original article
Comparison of prognostic value of epicardial blood flow and early ST-segment resolution after primary coronary angioplasty. ANIN – Myocardial Infarction Registry

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 65, No 1 (2007)

Pages

1-10

Published online

2007-01-25

Bibliographic record

Kardiol Pol 2007;65(1):1-10.

Keywords

TIMI
normalizacja uniesionego odcinka ST

Authors

Łukasz Kalińczuk
Jakub Przyłuski
Maciej Karcz
Joanna Petryka
Edyta Kaczmarska
Paweł Bekta
Cezary Kępka
Mariusz Kruk
Jerzy Pręgowski
Jacek Kądziela
Tomasz Deptuch
Mirosław Skwarek
Krzysztof Cedro
Michał Ciszewski
Artur Dębski
Andrzej Ciszewski
Zbigniew Chmielak
Marcin Demkow
Adam Witkowski
Witold Rużyłło

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