ST-segment resolution assessed immediately after primary percutaneous coronary intervention correlates with infarct size and left ventricular function in cardiac magnetic resonance at 1-year follow-up

被引：11

作者：

Rakowski, Tomasz ^{[2
]}

Dziewierz, Artur ^{[2
]}

Siudak, Zbigniew ^{[2
]}

Mielecki, Waldemar ^{[2
]}

Brzozowska-Czarnek, Agata ^{[3
]}

Legutko, Jacek ^{[2
]}

Rzeszutko, Lukasz ^{[1
]}

Urbanik, Andrzej ^{[3
]}

Dubiel, Jacek S. ^{[2
]}

Dudek, Dariusz ^{[1
]}

机构：

[1] Jagiellonian Univ, Dept Intervent Cardiol, Coll Med, Krakow, Poland

[2] Jagiellonian Univ, Dept Cardiol 2, Coll Med, Krakow, Poland

[3] Jagiellonian Univ, Dept Radiol, Coll Med, Krakow, Poland

来源：

JOURNAL OF ELECTROCARDIOLOGY | 2009年 / 42卷 / 02期

关键词：

ST-elevation myocardial infarction; Reperfusion assessment; Primary percutaneous coronary intervention; Electrocardiography; Cardiac magnetic resonance; Left ventricular function; ACUTE MYOCARDIAL-INFARCTION; ELEVATION RESOLUTION; THROMBOLYTIC THERAPY; PRIMARY ANGIOPLASTY; TERM MORTALITY; 60; MINUTES; DEVIATION; EXTENT; TRIAL; LEAD;

D O I：

10.1016/j.jelectrocard.2008.12.002

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: Little is known about the predictive value of electrocardiographic ST-segment resolution (STR) assessed immediately after primary percutaneous coronary intervention (PCI). The aim of the study was to analyze the value of STR and maximum single-lead ST-segment elevation assessed immediately after primary PCI in prediction of infarct size and left ventricular function in cardiac magnetic resonance (CMR) at 1-year follow-up. Methods and results: A total of 28 patients with anterior wall ST-segment elevation myocardial infarction treated with primary PCI entered the study. There was a significant correlation of STR and maximum single-lead ST-segment elevation assessed immediately after primary PCI and CMR infarct size and left ventricular function after 1 year. When analyzed according to standard optimal reperfusion cutoff (70% for STR and 1 mm for single-lead elevation), both electrocardiographic parameters were also good predictors of CMR infarct size and left ventricular function after 1 year. Conclusions: ST-segment resolution and the single-lead maximum ST-segment elevation assessed immediately after primary PCI for ST-segment elevation myocardial infarction are good predictors of infarct size and left ventricular function in 1-year follow-up. (C) 2009 Elsevier Inc. All rights reserved.

引用

页码：152 / 156

页数：5

共 15 条

[1] 2007 focused update of the ACC/AHA 2004 guidelines for the management of patients with ST-elevation myocardial infarction - A report of the American college of cardiology/American heart association task force on practice guidelines [J].

Antman, Elliott M. ;

Hand, Mary ;

Armstrong, Paul W. ;

Bates, Eric R. ;

Green, Lee A. ;

Halasyamani, Lakshmi K. ;

Hochman, Judith S. ;

Krumholz, Harlan M. ;

Lamas, Gervasio A. ;

Mullany, Charles J. ;

Pearle, David L. ;

Sloan, Michael A. ;

Smith, Sidney C., Jr. .

CIRCULATION, 2008, 117 (02) :296-329

[2] Relation between electrocardiographic ST-segment resolution and early and late outcomes after primary percutaneous coronary intervention for acute myocardial infarction [J].

Brodie, BR ;

Stuckey, TD ;

Hansen, C ;

VerSteeg, DS ;

Muncy, DB ;

Moore, S ;

Gupta, N ;

Downey, WE .

AMERICAN JOURNAL OF CARDIOLOGY, 2005, 95 (03) :343-348

[3] ST-segment recovery and outcome after primary percutaneous coronary intervention for ST-elevation myocardial infarction - Insights from the Assessment of PEXelizumab in Acute Myocardial Infarction (APEX-AMI) trial [J].

Buller, Christopher E. ;

Fu, Yuling ;

Mahaffey, Kenneth W. ;

Todaro, Thomas G. ;

Adams, Peter ;

Westerhout, Cynthia M. ;

White, Harvey D. ;

Hof, Arnoud W. J. Van 't ;

De Werf, Frans J. Van ;

Wagner, Galen S. ;

Granger, Christopher B. ;

Armstrong, Paul W. .

CIRCULATION, 2008, 118 (13) :1335-1346

[4] 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) [J].

Cura, FA ;

Roffi, M ;

Pasca, N ;

Wolski, KE ;

Lincoff, AM ;

Topol, EJ ;

Lauer, MS .

AMERICAN JOURNAL OF CARDIOLOGY, 2004, 94 (07) :859-863

[5] Comparison of a 60-versus 90-minute determination of ST-segment resolution after thrombolytic therapy for acute myocardial infarction [J].

de Lemos, JA ;

Antman, EM ;

Giugliano, RP ;

Morrow, DA ;

McCabe, CH ;

Cutler, SS ;

Charlesworth, A ;

Schröder, R ;

Braunwald, E .

AMERICAN JOURNAL OF CARDIOLOGY, 2000, 86 (11) :1235-+

[6] Postprocedural single-lead ST-segment deviation and long-term mortality in patients with ST-segment elevation myocardial infarction treated by primary angioplasty [J].

De Luca, G. ;

Suryapranata, H. ;

Ottervanger, J. P. ;

Hoorntje, J. C. A. ;

Gosselink, A. T. M. ;

Dambrink, J-H ;

De Boer, M-J ;

Van't Hof, A. W. J. .

HEART, 2008, 94 (01) :44-47

[7] A formula to estimate the approximate surface area if height and weight be known [J].

Du Bois, D ;

Du Bois, EF .

ARCHIVES OF INTERNAL MEDICINE, 1916, 17 (06) :863-871

[8] Prognostic utility of comparative methods for assessment of ST-segment resolution after primary Angioplasty for acute myocardial infarction - The controlled abciximab and device investigation to lower late angioplasty complications (CADILLAC) trial [J].

McLaughlin, MG ;

Stone, GW ;

Aymong, E ;

Gardner, G ;

Mehran, R ;

Lansky, AJ ;

Grines, CL ;

Tcheng, JE ;

Cox, DA ;

Stuckey, T ;

Garcia, E ;

Guagliumi, G ;

Turco, M ;

Josephson, ME ;

Zimetbaum, P .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2004, 44 (06) :1215-1223

[9] Change in ST segment elevation 60 minutes after thrombolytic initiation predicts clinical outcome as accurately as later electrocardiographic changes [J].

Purcell, IF ;

Newall, N ;

Farrer, M .

HEART, 1997, 78 (05) :465-471

[10] Extent of ST-segment deviation in the single ECG lead of maximum deviation present 90 or 180 minutes after start of thrombolytic therapy best predicts outcome in acute myocardial infarction [J].

Schröder, K ;

Wegscheider, K ;

Zeymer, U ;

Neuhaus, KL ;

Schröder, R .

ZEITSCHRIFT FUR KARDIOLOGIE, 2001, 90 (08) :557-567

← 1 2 →