Primary percutaneous coronary intervention is appropriate in
transient ST-elevation myocardial infarction

J 2022

Primary percutaneous coronary intervention is appropriate in transient ST-elevation myocardial infarction

KOC, Lumír, Monika MIKOLÁŠKOVÁ, Tomáš NOVOTNÝ, Jiří PAŘENICA, Jan KAŇOVSKÝ et. al.

Základní údaje

Originální název

Primary percutaneous coronary intervention is appropriate in transient ST-elevation myocardial infarction

Autoři

KOC, Lumír (203 Česká republika, domácí), Monika MIKOLÁŠKOVÁ (703 Slovensko, domácí), Tomáš NOVOTNÝ (203 Česká republika, domácí), Jiří PAŘENICA (203 Česká republika, domácí), Jan KAŇOVSKÝ (203 Česká republika, domácí), Tomáš ONDRÚŠ (703 Slovensko, domácí), Mária HOLICKÁ (703 Slovensko, domácí), Martin POLOCZEK (203 Česká republika), Jiří JARKOVSKÝ (203 Česká republika, domácí), Marek MALÍK (203 Česká republika, domácí) a Petr KALA (203 Česká republika, garant, domácí)

Vydání

Biomedical Papers, Olomouc, PALACKY UNIV, MEDICAL FAC, 2022, 1213-8118

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30201 Cardiac and Cardiovascular systems

Stát vydavatele

Česká republika

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 0.900

Kód RIV

RIV/00216224:14110/22:00124904

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.5507/bp.2021.005

UT WoS

000731339500001

Klíčová slova anglicky

STEMI; Primary PCI; ST-segment resolution; TSTEMI; 5-year survival

Štítky

14110211, 14119612, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 20. 7. 2022 09:24, Mgr. Tereza Miškechová

Anotace

V originále

ntroduction: Reperfusion therapy by primary percutaneous coronary intervention (PPCI) is generally indicated in patients suffering from acute myocardial infarction (MI) with ST-segment elevation (STEMI). Prior to hospital admission, full ST-segment resolution (fSTR) may occur. Optimal management of such patients with transient STEMI (TSTEMI) is potentially challenging. Our aim was to evaluate the hypothesis that in TSTEMI patients, patency of infarct related artery (IRA) is achieved before PPCI, and to compare the outcome of TSTEMI and STEMI patients during a prolonged follow-up. Material and Methods: Three hundred consecutive adult STEMI patients were referred to catheterization laboratory. In all patients, standard 12 lead ECGs were obtained both at the time of the first medical contact, and on catheterization laboratory admission. Results: TSTEMI occurred in 20 patients (6.7%). Despite fSTR (isoelectric ST segment), occluded IRA was found in 5 of these patients (25%). Pre-PPCI TIMI flow grade 2 was found in 6 TSTEMI patients (30%). Troponin T value at 24 h after symptom onset was lower in the TSTEMI group (1.8±2.5 mg/L vs. 3.6±3.5 mg/L, P=0.008). These patients also had a lower value of brain natriuretic peptide (156.3±119.5 ng/L vs. 438.5±429.0 ng/L, P<0.001) and higher left ventricular ejection fraction (59.9±6.3% vs. 51.6±10.2%, P<0.001). All patients were followed for a median of 5.6 years during which the overall survival did not differ between the TSTEMI and STEMI groups.

Citovat

KOC, Lumír, Monika MIKOLÁŠKOVÁ, Tomáš NOVOTNÝ, Jiří PAŘENICA, Jan KAŇOVSKÝ, Tomáš ONDRÚŠ, Mária HOLICKÁ, Martin POLOCZEK, Jiří JARKOVSKÝ, Marek MALÍK a Petr KALA. Primary percutaneous coronary intervention is appropriate in transient ST-elevation myocardial infarction. Biomedical Papers. Olomouc: PALACKY UNIV, MEDICAL FAC, 2022, roč. 166, č. 2, s. 180-186. ISSN 1213-8118. Dostupné z: https://dx.doi.org/10.5507/bp.2021.005.

@article{1745500,
   author = {Koc, Lumír and Mikolášková, Monika and Novotný, Tomáš and Pařenica, Jiří and Kaňovský, Jan and Ondrúš, Tomáš and Holická, Mária and Poloczek, Martin and Jarkovský, Jiří and Malík, Marek and Kala, Petr},
   article_location = {Olomouc},
   article_number = {2},
   doi = {http://dx.doi.org/10.5507/bp.2021.005},
   keywords = {STEMI; Primary PCI; ST-segment resolution; TSTEMI; 5-year survival},
   language = {eng},
   issn = {1213-8118},
   journal = {Biomedical Papers},
   title = {Primary percutaneous coronary intervention is appropriate in transient ST-elevation myocardial infarction},
   url = {https://biomed.papers.upol.cz/corproof.php?tartkey=bio-000000-2711},
   volume = {166},
   year = {2022}
}

TY  - JOUR
ID  - 1745500
AU  - Koc, Lumír - Mikolášková, Monika - Novotný, Tomáš - Pařenica, Jiří - Kaňovský, Jan - Ondrúš, Tomáš - Holická, Mária - Poloczek, Martin - Jarkovský, Jiří - Malík, Marek - Kala, Petr
PY  - 2022
TI  - Primary percutaneous coronary intervention is appropriate in transient ST-elevation myocardial infarction
JF  - Biomedical Papers
VL  - 166
IS  - 2
SP  - 180-186
EP  - 180-186
PB  - PALACKY UNIV, MEDICAL FAC
SN  - 12138118
KW  - STEMI
KW  - Primary PCI
KW  - ST-segment resolution
KW  - TSTEMI
KW  - 5-year survival
UR  - https://biomed.papers.upol.cz/corproof.php?tartkey=bio-000000-2711
N2  - ntroduction: Reperfusion therapy by primary percutaneous coronary intervention (PPCI) is generally indicated in patients suffering from acute myocardial infarction (MI) with ST-segment elevation (STEMI). Prior to hospital admission, full ST-segment resolution (fSTR) may occur. Optimal management of such patients with transient STEMI (TSTEMI) is potentially challenging. Our aim was to evaluate the hypothesis that in TSTEMI patients, patency of infarct related artery (IRA) is achieved before PPCI, and to compare the outcome of TSTEMI and STEMI patients during a prolonged follow-up. Material and Methods: Three hundred consecutive adult STEMI patients were referred to catheterization laboratory. In all patients, standard 12 lead ECGs were obtained both at the time of the first medical contact, and on catheterization laboratory admission. Results: TSTEMI occurred in 20 patients (6.7%). Despite fSTR (isoelectric ST segment), occluded IRA was found in 5 of these patients (25%). Pre-PPCI TIMI flow grade 2 was found in 6 TSTEMI patients (30%). Troponin T value at 24 h after symptom onset was lower in the TSTEMI group (1.8±2.5 mg/L vs. 3.6±3.5 mg/L, P=0.008). These patients also had a lower value of brain natriuretic peptide (156.3±119.5 ng/L vs. 438.5±429.0 ng/L, P<0.001) and higher left ventricular ejection fraction (59.9±6.3% vs. 51.6±10.2%, P<0.001). All patients were followed for a median of 5.6 years during which the overall survival did not differ between the TSTEMI and STEMI groups.
ER  -

KOC, Lumír, Monika MIKOLÁŠKOVÁ, Tomáš NOVOTNÝ, Jiří PAŘENICA, Jan KAŇOVSKÝ, Tomáš ONDRÚŠ, Mária HOLICKÁ, Martin POLOCZEK, Jiří JARKOVSKÝ, Marek MALÍK a Petr KALA. Primary percutaneous coronary intervention is appropriate in transient ST-elevation myocardial infarction. \textit{Biomedical Papers}. Olomouc: PALACKY UNIV, MEDICAL FAC, 2022, roč.~166, č.~2, s.~180-186. ISSN~1213-8118. Dostupné z: https://dx.doi.org/10.5507/bp.2021.005.

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