Prognostic factors of non-infarct-related arterial revascularization in STEMI patients with multivessel disease
ZHOU Han-li
XIA Zhong-hua
HUANG Xing-jie
LIN Chuang-bao
LIU Qiong
HUANG Min
ZHOU Guo-liang
ZHANG Yu-zhong
The Second Affiliated Hospital of Guilin Medical College,Guilin 541000,Guangxi,China
摘要：Background Multivessel disease(MVD)is common in patients presenting with ST-segment elevation myocar-dial infarction(STEMI).But there is controversy over how to manage significant lesions in non-infarct-related ar-tery(non-IRA).Methods A total of 221 patients diagnosed with STEMI and MVD who underwent percutaneous coronary intervention(PCI)at our cardiology department between January 2018 and June 2021 were included in this study.Among them,115 patients underwent complete revascularization within 30 days and were assigned to the complete revascularization group,while 106 patients who did not undergo complete revascularization within 30 days were assigned to the IRA-only revascularization group.Patients were followed up at 12 months.The primary endpoint event was adverse cardiovascular events(MACEs).Results There was no significant statistical differ-ence in MACEs between the two groups of patients,but the incidence of heart failure in the IRA-Only group was significantly higher than that in the complete revascularization group.In the complete revascularization group,the number of stents,Killip class Ⅱ/Ⅲ on admission,and complete revascularization time were independent predictors of MACEs.Receiver operating characteristic curve(ROC)curve analysis showed that complete revascularization time had good predictive power for MACEs(Area under the curve:0.746 95％CI:0.680-0.801,with a cut-off value of 10.3 days.Conclusions For STEMI patients with concurrent MVD,complete revascularization can reduce the incidence of heart failure.What's more,short-term staged(within 10 days)complete revascularization may further improve clinical outcomes.[S Chin J Cardiol 2023;24(2):59-64]
机标关键词：stemirevawitharterialdiseasefactorsinfarctmultivessel
论文发表日期：2023-06-30
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：7( 59-64,73 )
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