The utility of the TIMI risk index on admission for predicting angiographic no-reflow after primary percutaneous coronary intervention in patients with STEMI
Yükleniyor...
Tarih
2016
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
TÜBİTAK
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Background/aim: The thrombolysis in myocardial infarction (TIMI) risk score (TRS), and the TIMI risk index (TRI) have been reported
in coronary artery disease patients. We investigated whether admission TRI is associated with no-reflow (NRF) in patients undergoing
primary percutaneous coronary intervention (p-PCI).
Materials and methods: ST-segment elevation myocardial infarction (STEMI) patients treated with p-PCI were included in the study.
TRI was calculated on admission using specified variables. We defined the angiographic NRF phenomenon as a coronary TIMI flow
grade of ≤2 after the vessel was recanalized or a TIMI flow grade of 3 together with a final myocardial blush grade (MBG) of <2 in a
manner as described in previous studies.
Results: A total of 371 patients (aged 62 ± 14 years; 73/27 men to women ratio) who underwent p-PCI were enrolled in the study. In
terms of age, NRF patients were older than reflow patients (P < 0.017 for MBG). Killip class III-IV designations were more common in
NRF patients (P = 0.029 for MBG). TRI (P = 0.014 for MBG) values were significantly greater in the NRF group. TRI was an independent
predictor of NRF according to MBG flow (P = 0.003, B = –0.035, Exp B = 0966, 95% CI, 0.944–0.988).
Conclusion: Admission TRI may predict the development of NRF phenomenon after p-PCI in patients with acute STEMI.
Açıklama
Anahtar Kelimeler
ST-segment elevation myocardial infarction, Global registry of acute coronary events risk score, Thrombolysis in myocardial infarction risk score, Thrombolysis in myocardial infarction risk index, No-reflow phenomenon, Primary percutaneous coronary intervention
Kaynak
Turkish Journal of Medical Sciences
WoS Q Değeri
Q3
Scopus Q Değeri
Q1
Cilt
46
Sayı
3
Künye
Acet, H., Ertaş, F., Akıl, M. A., Bilik, M. Z., Aydın, M., Polat, N. ve diğerleri.(2016). The utility of the TIMI risk index on admission for predicting angiographic no-reflow after primary percutaneous coronary intervention in patients with STEMI. Turkish Journal of Medical Sciences, 46(3), 604-613.
