THE INFLUENCE OF MULTIFOCAL ATHEROSCLEROSIS ON LONG-TERM OUTCOMES AFTER ENDOVASCULAR REVASCULARIZATION IN MYOCARDIAL INFARCTION

Aim. To study the results of primary percutaneous coronary intervention in ST elevation myocardial infarction patients (STE MI) in multivessel disease (MD) according to the multifocal disease (MFA) (peripheral lesion ≥30%).Material and methods. Current study concerns on the evaluation of hemodynamic...

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Main Author: R. S. Tarasov
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2015-02-01
Series:Российский кардиологический журнал
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Online Access:https://russjcardiol.elpub.ru/jour/article/view/238
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author R. S. Tarasov
author_facet R. S. Tarasov
author_sort R. S. Tarasov
collection DOAJ
description Aim. To study the results of primary percutaneous coronary intervention in ST elevation myocardial infarction patients (STE MI) in multivessel disease (MD) according to the multifocal disease (MFA) (peripheral lesion ≥30%).Material and methods. Current study concerns on the evaluation of hemodynamically significant and nonsignificant lesion influence on the prevalence of cardiovascular adverse events in 227 patients during 12 months after primary percutaneous intervention (PCI). The first group consisted of STEMI patients, MD of coronary vessels and MFA, underwent primary PCI (n=63) (STEMI+MFA), second group consisted of patients without MFA (n=164) (STEMI).Results. In STEMI+MFA patients comparing to those without MFA (peripheral arteries lesions more than 30%) there were worse in-hospital and long term outcomes of primary PCI by the prevalence of combined endpoint (death, MI, culprit lesion intervention): 17,4% vs. 6,7% and 30,2% vs. 13,4%, resp. (p <0,05).Conclusion. The prognostic significance of MFA (peripheral arteries lesions more than 30%) after primary PCI in the cohort of patients with STEMI and MD remains underexplored. Current study has shown that presence MFA after primary PCI is a negative prognostic factor in patients with STEMI and MD.
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spelling doaj-art-b5150452e636463fa121e209e61dbba62025-08-04T13:00:11Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202015-02-0102838810.15829/1560-4071-2015-2-83-88238THE INFLUENCE OF MULTIFOCAL ATHEROSCLEROSIS ON LONG-TERM OUTCOMES AFTER ENDOVASCULAR REVASCULARIZATION IN MYOCARDIAL INFARCTIONR. S. Tarasov0FSBI Scientific-Research Institute of Complex Problems of Cardiovascular Diseases of SD RAMS, KemerovoAim. To study the results of primary percutaneous coronary intervention in ST elevation myocardial infarction patients (STE MI) in multivessel disease (MD) according to the multifocal disease (MFA) (peripheral lesion ≥30%).Material and methods. Current study concerns on the evaluation of hemodynamically significant and nonsignificant lesion influence on the prevalence of cardiovascular adverse events in 227 patients during 12 months after primary percutaneous intervention (PCI). The first group consisted of STEMI patients, MD of coronary vessels and MFA, underwent primary PCI (n=63) (STEMI+MFA), second group consisted of patients without MFA (n=164) (STEMI).Results. In STEMI+MFA patients comparing to those without MFA (peripheral arteries lesions more than 30%) there were worse in-hospital and long term outcomes of primary PCI by the prevalence of combined endpoint (death, MI, culprit lesion intervention): 17,4% vs. 6,7% and 30,2% vs. 13,4%, resp. (p <0,05).Conclusion. The prognostic significance of MFA (peripheral arteries lesions more than 30%) after primary PCI in the cohort of patients with STEMI and MD remains underexplored. Current study has shown that presence MFA after primary PCI is a negative prognostic factor in patients with STEMI and MD.https://russjcardiol.elpub.ru/jour/article/view/238multifocal atherosclerosismyocardial infarction with st elevationmultivessel diseaseprimary percutaneous intervention
spellingShingle R. S. Tarasov
THE INFLUENCE OF MULTIFOCAL ATHEROSCLEROSIS ON LONG-TERM OUTCOMES AFTER ENDOVASCULAR REVASCULARIZATION IN MYOCARDIAL INFARCTION
Российский кардиологический журнал
multifocal atherosclerosis
myocardial infarction with st elevation
multivessel disease
primary percutaneous intervention
title THE INFLUENCE OF MULTIFOCAL ATHEROSCLEROSIS ON LONG-TERM OUTCOMES AFTER ENDOVASCULAR REVASCULARIZATION IN MYOCARDIAL INFARCTION
title_full THE INFLUENCE OF MULTIFOCAL ATHEROSCLEROSIS ON LONG-TERM OUTCOMES AFTER ENDOVASCULAR REVASCULARIZATION IN MYOCARDIAL INFARCTION
title_fullStr THE INFLUENCE OF MULTIFOCAL ATHEROSCLEROSIS ON LONG-TERM OUTCOMES AFTER ENDOVASCULAR REVASCULARIZATION IN MYOCARDIAL INFARCTION
title_full_unstemmed THE INFLUENCE OF MULTIFOCAL ATHEROSCLEROSIS ON LONG-TERM OUTCOMES AFTER ENDOVASCULAR REVASCULARIZATION IN MYOCARDIAL INFARCTION
title_short THE INFLUENCE OF MULTIFOCAL ATHEROSCLEROSIS ON LONG-TERM OUTCOMES AFTER ENDOVASCULAR REVASCULARIZATION IN MYOCARDIAL INFARCTION
title_sort influence of multifocal atherosclerosis on long term outcomes after endovascular revascularization in myocardial infarction
topic multifocal atherosclerosis
myocardial infarction with st elevation
multivessel disease
primary percutaneous intervention
url https://russjcardiol.elpub.ru/jour/article/view/238
work_keys_str_mv AT rstarasov theinfluenceofmultifocalatherosclerosisonlongtermoutcomesafterendovascularrevascularizationinmyocardialinfarction
AT rstarasov influenceofmultifocalatherosclerosisonlongtermoutcomesafterendovascularrevascularizationinmyocardialinfarction