Details

Autor(en) / Beteiligte

• Ryu, Kwang Sun
• Park, Hyun Woo
• Park, Soo Ho
• Shon, Ho Sun
• Ryu, Keun Ho
• Lee, Dong Gyu
• Bashir, Mohamed Ea
• Lee, Ju Hee
• Kim, Sang Min
• Lee, Sang Yeub
• Bae, Jang Whan
• Hwang, Kyung Kuk
• Kim, Dong Woon
• Cho, Myeong Chan
• Ahn, Young Keun
• Jeong, Myung Ho
• Kim, Chong Jin
• Park, Jong Seon
• Kim, Young Jo
• Jang, Yang Soo
• Kim, Hyo Soo
• Seung, Ki Bae

Titel

Comparison of clinical outcomes between culprit vessel only and multivessel percutaneous coronary intervention for ST-segment elevation myocardial infarction patients with multivessel coronary diseases

Ist Teil von

• Journal of geriatric cardiology : JGC, 2015-05, Vol.12 (3), p.208-217

Ort / Verlag

China: Database and Bioinformatics Laboratory, School of Electrical and Computer Engineering, Chungbuk National University, Cheongju, Chungbuk, South Korea%Human Genome Center, Institute of Medical Science, University of Tokyo, Minatoku, Tokyo, Japan%Faculty of Computer Science and Information Technology, University of Medical Sciences and Technology, Khartoum, Sudan%Regional Cardiovascular Disease Center, Chungbuk National University Hospital, Cheongju, Chungbuk, South Korea%Department of Cardiology, Chonnam National University Hospital, Donggu, Gwangju, South Korea%Department of Internal Medicine, Kyunghee University Gangdong Hospital, Seoul, South Korea%Department of Internal Medicine, Yeungnam University Hospital, Medical Center, Daegu, South Korea%Division of Cardiology, Yonsei University, Severance Hospital, Seoul, South Korea%Cardiovascular Center and Department of Internal Medicine, Seoul National University Hospital, Seoul, South Korea%Department of Cardiovascular Medicine, Catholic University, St. Mary’s Hospital, Seoul, South Korea

Erscheinungsjahr

2015

Quelle

EZB Electronic Journals Library

Beschreibungen/Notizen

• Background The clinical significance of complete revascularization for ST segment elevation myocardial infarction （STEMI） pa- tients during admission is still debatable. Methods A total of 1406 STEMI patients from the Korean Myocardial Infarction Registry with multivessel diseases without cardiogenic shock who underwent primary percutaneous coronary intervention （PPCI） were analyzed. We used propensity score matching （PSM） to control differences of baseline characteristics between culprit only intervention （CP） and multivessel percutaneous coronary interventions （MP）, and between double vessel disease （DVD） and triple vessel disease （TVD）. The major adverse cardiac event （MACE） was analyzed for one year after discharge. Results TVD patients showed higher incidence of MACE （14.2% vs. 8.6%, P = 0.01）, any cause of revascularization （10.6% vs. 5.9%, P - 0.01）, and repeated PCI （9.5% vs. 5.7%, P = 0.02）, as compared to DVD patients during one year after discharge. MP reduced MACE effectively （7.3% vs. 13.8%, P = 0.03）, as compared to CP for one year, but all cause of death （1.6% vs. 3.2%, P= 0.38）, Ml （0.4% vs. 0.8%, P = 1.00）, and any cause ofrevascularization （5.3% vs. 9.7%, P = 0.09） were comparable in the two treatment groups. Conclusions STEMI patients with TVD showed higher rate of MACE, as compared to DVD MP performed during PPCI or ad hoc during admission for STEMI patients without cardiogenic shock showed lower rate of MACE in this large scaled database. Therefore, MP could be considered as an effective treatment option for STEMI patients without cardiogenic shock.