Predictors of myocardial tissue reperfusion after angioplasty in acute myocardial infarction
Background: The efficacy of primary angioplasty is limited due to the fact that a considerable number of patients do not achieve adequate levels of myocardial tissue perfusion. The degree of reperfusion depends on multiple clinical, angiographic and therapeutic factors. Objectives: To identify the i...
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| Otros Autores: | , , , , , , , , |
| Formato: | Capítulo de libro |
| Lenguaje: | Español |
| Publicado: |
2009
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| Acceso en línea: | Registro en Scopus Handle Registro en la Biblioteca Digital |
| Aporte de: | Registro referencial: Solicitar el recurso aquí |
| LEADER | 13173caa a22010577a 4500 | ||
|---|---|---|---|
| 001 | PAPER-23179 | ||
| 003 | AR-BaUEN | ||
| 005 | 20230518205449.0 | ||
| 008 | 190411s2009 xx ||||fo|||| 00| 0 spa|d | ||
| 024 | 7 | |2 scopus |a 2-s2.0-74549161556 | |
| 040 | |a Scopus |b spa |c AR-BaUEN |d AR-BaUEN | ||
| 030 | |a RACDA | ||
| 100 | 1 | |a Cura, F.A. | |
| 245 | 1 | 0 | |a Predictors of myocardial tissue reperfusion after angioplasty in acute myocardial infarction |
| 246 | 3 | 1 | |a Predictores de reperfusión miocárdica tisular luego de la angioplastia en el infarto agudo de miocardio |
| 260 | |c 2009 | ||
| 270 | 1 | 0 | |m Cura, F. A.; Instituto Cardiovascular Buenos Aires, Blanco Encalada 1543, (1428) Buenos Aires, Argentina; email: fcura@icba-cardiovascular.com.ar |
| 506 | |2 openaire |e Política editorial | ||
| 504 | |a Lincoff, A.M., Topol, E.J., Illusion of reperfusion. Does anyone achieve optimal reperfusion during acute myocardial infarction? (1993) Circulation, 88, pp. 1361-1374 | ||
| 504 | |a Keeley, E.C., Boura, J.A., Grines, C.L., Primary angioplasty versus intravenous thrombolytic therapy for acute myocardial infarction: A quantitative review of 23 randomised trials (2003) Lancet, 361, pp. 13-20 | ||
| 504 | |a Henriques, J.P., Zijlstra, F., Ottervanger, J.P., de Boer, M.J., van't Hof, A.W., Hoorntje, J.C., Incidence and clinical significance of distal embolization during primary angioplasty for acute myocardial infarction (2002) Eur Heart J, 23, pp. 1112-1117 | ||
| 504 | |a Cura, F.A., L'Allier, P.L., Kapadia, S.R., Houghtaling, P.L., Dipaola, L.M., Ellis, S.G., GUSTO IIb and RAPPORT Investigators. Predictors and prognosis of suboptimal coronary blood flow after primary coronary angioplasty in patients with acute myocardial infarction (2001) Am J Cardiol, 88, pp. 124-128 | ||
| 504 | |a Santoro, G.M., Valenti, R., Buonamici, P., Bolognese, L., Cerisano, G., Moschi, G., Relation between ST-segment changes and myocardial perfusion evaluated by myocardial contrast echocardiography in patients with acute myocardial infarction treated with direct angioplasty (1998) Am J Cardiol, 82, pp. 932-937 | ||
| 504 | |a De Luca, G., van 't Hof, A.W., de Boer, M.J., Ottervanger, J.P., Hoorntje, J.C., Gosselink, A.T., Time-to-treatment significantly affects the extent of ST-segment resolution and myocardial blush in patients with acute myocardial infarction treated by primary angioplasty (2004) Eur Heart J, 25, pp. 1009-1013 | ||
| 504 | |a A comparison of recombinant hirudin with heparin for the treatment of acute coronary syndromes. The Global Use of Strategies to Open Occluded Coronary Arteries (GUSTO) IIb Investigators. N Engl J Med 1996;335:775-82; Schröder, R., Zeymer, U., Wegscheider, K., Neuhaus, K.L., Comparison of the predictive value of ST segment elevation resolution at 90 and 180 min after start of streptokinase in acute myocardial infarction. A substudy of the hirudin for improvement of thrombolysis (HIT)-4 study (1999) Eur Heart J, 20, pp. 1563-1571 | ||
| 504 | |a Dissmann, R., Schröder, R., Busse, U., Appel, M., Brüggemann, T., Jereczek, M., Early assessment of outcome by ST-segment analysis after thrombolytic therapy in acute myocardial infarction (1994) Am Heart J, 128, pp. 851-857 | ||
| 504 | |a Cura, F.A., Roffi, M., Pasca, N., Wolski, K.E., Lincoff, A.M., Topol, E.J., Global Use of Strategies to Open Occluded Arteries V Investigators. ST-segment resolution 60 minutes after combination treatment of abciximab with reteplase or reteplase alone for acute myocardial infarction (30-day mortality results from the resolution of ST-segment after reperfusion therapy substudy) (2004) Am J Cardiol, 94, pp. 859-863 | ||
| 504 | |a Cura, F.A., Escudero, A.G., Berrocal, D., Mendiz, O., Trivi, M.S., Fernandez, J., PREMIAR Investigators. Protection of Distal Embolization in High-Risk Patients with Acute ST-Segment Elevation Myocardial Infarction (PREMIAR) (2007) Am J Cardiol, 99, pp. 357-363 | ||
| 504 | |a Santoro, G.M., Antoniucci, D., Valenti, R., Bolognese, L., Buonamici, P., Trapani, M., Rapid reduction of ST-segment elevation after successful direct angioplasty in acute myocardial infarction (1997) Am J Cardiol, 80, pp. 685-689 | ||
| 504 | |a de Lemos JA, Antman EM, Giugliano RP, Morrow DA, McCabe CH, Cutler SS, et al. Comparison of a 60- versus 90-minute determination of ST-segment resolution after thrombolytic therapy for acute myocardial infarction. In TIME-II Investigators. Intravenous nPA for Treatment of Infarcting Myocardium Early-II. Am J Cardiol 2000;86:1235-7, A5; Ito, H., Okamura, A., Iwakura, K., Masuyama, T., Hori, M., Takiuchi, S., Myocardial perfusion patterns related to thrombolysis in myocardial infarction perfusion grades after coronary angioplasty in patients with acute anterior wall myocardial infarction (1996) Circulation, 93, pp. 1993-1999 | ||
| 504 | |a Berrocal, D., Belardi, J., Bazzino, O., Cagide, A., Doval, H.C., Rojas Matas, C., col, Fibrinolíticos versus angioplastia primaria en el infarto agudo de miocardio. (FAP). Estudio randomizado en un hospital de comunidad. (1996) Rev Argent Cardiol, 64, pp. 17-30 | ||
| 504 | |a Berrocal, D.H., Cohen, M.G., Spinetta, A.D., Ben, M.G., Rojas Matas, C.A., Gabay, J.M., Early reperfusion and late clinical outcomes in patients presenting with acute myocardial infarction randomly assigned to primary percutaneous coronary intervention or streptokinase (2003) Am Heart J, 146, pp. E22 | ||
| 504 | |a Angeja, B.G., Gunda, M., Murphy, S.A., Sobel, B.E., Rundle, A.C., Syed, M., TIMI myocardial perfusion grade and ST segment resolution: Association with infarct size as assessed by single photon emission computed tomography imaging (2002) Circulation, 105, pp. 282-285 | ||
| 504 | |a Guzman, E., Khan, I.A., Rahmatullah, S.I., Verghese, C., Yi, K.S., Niarchos, A.P., Resolution of ST-segment elevation after streptokinase therapy in anterior versus inferior wall myocardial infarction (2000) Clin Cardiol, 23, pp. 490-494 | ||
| 504 | |a Brener, S.J., Barr, L.A., Burchenal, J.E., Katz, S., George, B.S., Jones, A.A., Randomized, placebo-controlled trial of platelet glycoprotein IIb/IIIa blockade with primary angioplasty for acute myocardial infarction. ReoPro and Primary PTCA Organization and Randomized Trial (RAPPORT) Investigators (1998) Circulation, 98, pp. 734-741 | ||
| 504 | |a Neumann, F.J., Blasini, R., Schmitt, C., Alt, E., Dirschinger, J., Gawaz, M., Effect of glycoprotein IIb/IIIa receptor blockade on recovery of coronary flow and left ventricular function after the placement of coronary-artery stents in acute myocardial infarction (1998) Circulation, 98, pp. 2695-2701 | ||
| 504 | |a Albertal, M., Cura, F., Escudero, A.G., Thierer, J., Trivi, M., Padilla, L.T., PREMIAR investigators. Mechanism involved in the paradoxical effects of active smoking following primary angioplasty: A subanalysis of the protection of distal embolization in high-risk patients with acute myocardial infarction trial (2008) J Cardiovasc Med (Hagerstown), 9, pp. 810-812 | ||
| 504 | |a Weisz, G., Cox, D.A., Garcia, E., Tcheng, J.E., Griffin, J.J., Guagliumi, G., Impact of smoking status on outcomes of primary coronary intervention for acute myocardial infarction- the smoker's paradox revisited (2005) Am Heart J, 150, pp. 358-364 | ||
| 504 | |a Ishihara, M., Sato, H., Tateishi, H., Kawagoe, T., Shimatani, Y., Kurisu, S., Clinical implications of cigarette smoking in acute myocardial infarction: Acute angiographic findings and long-term prognosis (1997) Am Heart J, 134, pp. 955-960 | ||
| 504 | |a Barbash, G.I., Reiner, J., White, H.D., Wilcox, R.G., Armstrong, P.W., Sadowski, Z., Evaluation of paradoxic beneficial effects of smoking in patients receiving thrombolytic therapy for acute myocardial infarction: Mechanism of the "smoker's paradox" from the GUSTOI trial, with angiographic insights. Global Utilization of Streptokinase and Tissue-Plasminogen Activator for Occluded Coronary Arteries (1995) J Am Coll Cardiol, 26, pp. 1222-1229 | ||
| 504 | |a Grines, C.L., Topol, E.J., O'Neill, W.W., George, B.S., Kereiakes, D., Phillips, H.R., Effect of cigarette smoking on outcome after thrombolytic therapy for myocardial infarction (1995) Circulation, 91, pp. 298-303 | ||
| 520 | 3 | |a Background: The efficacy of primary angioplasty is limited due to the fact that a considerable number of patients do not achieve adequate levels of myocardial tissue perfusion. The degree of reperfusion depends on multiple clinical, angiographic and therapeutic factors. Objectives: To identify the independent factors associated with the absence of myocardial tissue reperfusion after primary angioplasty. Material and Methods: A total of 140 patients included in the Protection of Distal Embolization in High-Risk Patients with Acute ST-Segment Elevation Myocardial Infarction Trial (PREMIAR) were analyzed. This study evaluated the use of filter distal protection device during angioplasty in patients with acute ST-segment elevation myocardial infarction at high risk of thrombosis (only including baseline TIMI grade 0-2 flow). The primary end point of the study was the rate of complete ST-segment resolution at 60 minutes, defined as ≥ 70% recovery compared with baseline during continuous ST-segment monitoring. A model of logistic regression was developed to identify independent predictors. Results: Complete resolution of ST-segment deviation 60 minutes after angioplasty was observed in 82 patients (63%), while 53 patients (37%) presented partial ST-segment resolution which was associated with rates of mortality, reinfarction and/or heart failure at 30 days of 8.5% and 18.9%, respectively (p=0.07). The variables associated with absence of adequate myocardial tissue reperfusion were anterior infarction (79% versus 33%; p=0.001), higher heart rate (81±20 versus 70±15; p=0.001) and history of current smoking (25% versus 51%; p=0.002), compared to optimal tissue reperfusion. In addition, there was a trend towards greater prevalence of diabetes (26% versus 16%; p=0.13), longer time interval from the onset of symptoms to angioplasty (minutes) (217±167 versus 182±134; p=0.19) and Killip class >1 (30% versus 17%; p=0.07), respectively. Multivariate analysis demonstrated that anterior myocardial infarction was associated with absence of complete reperfusion (OR 8.22, 95% CI 3.67-18.4; p<0.001), while the use of glycoprotein IIb/IIIa inhibitors (OR 4.21, 95% CI 1.34-13.22; p=0.014) and current smoking (OR 3.84, 95% CI 1.58-9.50; p=0.003) correlated with complete reperfusion. Conclusions: A considerable proportion of patients undergoing primary angioplasty do not achieve adequate myocardial tissue reperfusion. This phenomenon is associated with adverse outcomes. Anterior myocardial infarction correlates with less degree of tissue reperfusion. Conversely, current smoking and the use of glycoprotein IIb/IIIa inhibitors are associated with better tissue reperfusion after primary angioplasty. |l eng | |
| 593 | |a Instituto Cardiovascular Buenos Aires, Blanco Encalada 1543, (1428) Buenos Aires, Argentina | ||
| 593 | |a Hospital General de Agudos Dr. Cosme Argerich, Argentina | ||
| 593 | |a Hospital Italiano de Buenos Aires, Argentina | ||
| 593 | |a Fundación Favaloro, Argentina | ||
| 593 | |a Instituto Cardiovascular de Corrientes, Argentina | ||
| 593 | |a Instituto Cardiovascular de Rosario, Santa Fe, Argentina | ||
| 690 | 1 | 0 | |a ANGIOPLASTY |
| 690 | 1 | 0 | |a MYOCARDIAL INFARCTION |
| 690 | 1 | 0 | |a MYOCARDIAL REPERFUSION |
| 690 | 1 | 0 | |a FIBRINOGEN RECEPTOR ANTAGONIST |
| 690 | 1 | 0 | |a ACUTE HEART INFARCTION |
| 690 | 1 | 0 | |a ADULT |
| 690 | 1 | 0 | |a AGED |
| 690 | 1 | 0 | |a ANGIOPLASTY |
| 690 | 1 | 0 | |a ARTICLE |
| 690 | 1 | 0 | |a BLOOD FILTER |
| 690 | 1 | 0 | |a CONTROLLED STUDY |
| 690 | 1 | 0 | |a DIABETES MELLITUS |
| 690 | 1 | 0 | |a DRUG USE |
| 690 | 1 | 0 | |a FEMALE |
| 690 | 1 | 0 | |a HEART FAILURE |
| 690 | 1 | 0 | |a HEART MUSCLE PERFUSION |
| 690 | 1 | 0 | |a HEART RATE |
| 690 | 1 | 0 | |a HEART REINFARCTION |
| 690 | 1 | 0 | |a HUMAN |
| 690 | 1 | 0 | |a MAJOR CLINICAL STUDY |
| 690 | 1 | 0 | |a MALE |
| 690 | 1 | 0 | |a MORTALITY |
| 690 | 1 | 0 | |a PREDICTOR VARIABLE |
| 690 | 1 | 0 | |a SMOKING |
| 690 | 1 | 0 | |a ST SEGMENT ELEVATION |
| 690 | 1 | 0 | |a THROMBOSIS |
| 653 | 0 | 0 | |a SpideRX, ev3, United States |
| 700 | 1 | |a Escudero, A.G. | |
| 700 | 1 | |a Berrocal, D. | |
| 700 | 1 | |a Mendiz, O. | |
| 700 | 1 | |a Albertal, M. | |
| 700 | 1 | |a Baccaro, J. | |
| 700 | 1 | |a Trivi, M. | |
| 700 | 1 | |a Damonte, A. | |
| 700 | 1 | |a Thierer, J. | |
| 700 | 1 | |a Belardi, J. | |
| 773 | 0 | |d 2009 |g v. 77 |h pp. 174-180 |k n. 3 |p Rev. Argent. Cardiol. |x 00347000 |t Revista Argentina de Cardiologia | |
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| 856 | 4 | 0 | |u https://hdl.handle.net/20.500.12110/paper_00347000_v77_n3_p174_Cura |y Handle |
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