Article
Medicine, General & Internal
Ying Sun, Jian Ren, Li Li, Chunsong Wang, Hengchen Yao
Summary: This study investigated the predictive value of red blood-cell distribution width (RDW) on no-reflow phenomenon (NRP) in ST-segment elevation myocardial infarction (STEMI) patients. The results showed that patients with high RDW had a higher likelihood of developing NRP. In patients with diabetes, RDW was found to be an independent predictor of NRP.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Medicine, Research & Experimental
Xiangming Hu, Weimian Wang, Jingguang Ye, Yan Lin, Bingyan Yu, Langping Zhou, Yingling Zhou, Haojian Dong
Summary: This study compared the efficacy and safety of short- and long-term GPI infusion in patients with STEMI and the no-/slow-reflow phenomenon, and found that prolonging the duration of GPI may not significantly improve the clinical outcome in real-world patients.
BIOMEDICINE & PHARMACOTHERAPY
(2021)
Article
Cardiac & Cardiovascular Systems
Pernille Gro Thrane, Kevin Kris Warnakula Olesen, Troels Thim, Christine Gyldenkerne, Martin Bodtker Mortensen, Steen Dalby Kristensen, Michael Maeng
Summary: In Western Denmark, the implementation of primary percutaneous coronary intervention (pPCI) for ST-segment elevation myocardial infarction (STEMI) has led to a significant reduction in 1-year mortality, with the greatest decline occurring within the first 30 days after pPCI. This highlights the importance of optimizing early management for improving overall survival in STEMI patients.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Chao Wu, Xiaojin Gao, Ling Li, Quanmin Jing, Weimin Li, Haiyan Xu, Wenbo Zhang, Sidong Li, Yanyan Zhao, Yang Wang, Wei Li, Yongjian Wu, Fenghuan Hu, Chen Jin, Shubin Qiao, Jingang Yang, Yuejin Yang
Summary: This study evaluated the role of ST-segment resolution (STR) and Thrombolysis in Myocardial Infarction (TIMI) flow in reperfusion evaluation after primary percutaneous coronary intervention (PPCI) for ST-segment-elevation myocardial infarction. The results showed that STR =50% and complete STR were significantly associated with lower 2-year mortality compared to STR <50%. Additionally, the combination of STR and TIMI flow provided incremental prognostic information beyond either measure alone.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2023)
Article
Cardiac & Cardiovascular Systems
Qinyao Zhang, Meirong Hu, Shumei Ma, Tiesheng Niu
Summary: The study evaluated the prognostic validity of the R-2-CHA(2)DS(2)-VASc score for patients with STEMI. The results showed that R-2-CHA(2)DS(2)-VASc>=3 was associated with no-reflow phenomena and poor clinical outcomes.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Takahiko Kai, Satoshi Oka, Katsuomi Hoshino, Kazunori Watanabe, Jun Nakamura, Makoto Abe, Akinori Watanabe
Summary: The study identified renal dysfunction as an independent predictor of slow-flow/no-reflow and impaired ST segment resolution in STEMI patients with initial TIMI Grade 0. Renal dysfunction may be related to coronary microvascular dysfunction and obstruction, indicating a potential link between kidney function and adverse outcomes in these patients.
CIRCULATION JOURNAL
(2021)
Article
Cardiac & Cardiovascular Systems
Yuzhou Xue, Shen Jian, Wei Zhou, Qi Zhou, Jing Xiang, Yuansong Zhu, Zhenxian Xiang, Haonan Yang, Gang Liu, Suxin Luo
Summary: This study provides the first evidence that Lp(a) (at both the protein and mRNA levels) is independently associated with coronary atherosclerotic lesions and prognosis in patients with STEMI treated with PCI.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2021)
Article
Multidisciplinary Sciences
Enmin Xie, Qing Li, Zixiang Ye, Ziyu Guo, Yike Li, Nan Shen, Changan Yu, Yanxiang Gao, Jingang Zheng
Summary: The Canada Acute Coronary Syndrome (C-ACS) risk score was found to be able to predict the occurrence of no-/slow-reflow in patients with ST-elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PCI). In male patients, the C-ACS score showed an independent association with no-/slow-reflow and had predictive value for major adverse cardiovascular events.
Article
Cardiac & Cardiovascular Systems
Samian Sulaiman, Akram Kawsara, Mohamed O. Mohamed, Harriette G. C. Van Spall, Nadia Sutton, David R. Holmes, Mamas A. Mamas, Mohamad Alkhouli
Summary: The study found that women are less likely to receive primary percutaneous coronary intervention (pPCI) than men. However, the reduction in in-hospital mortality with pPCI is comparable between men and women. Despite this, the rates of pPCI remain lower in women in contemporary US practice.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2021)
Article
Cardiac & Cardiovascular Systems
Baris Simsek, Tufan Cinar, Veysel O. Tanik, Duygu Inan, Gonul Zeren, Ilhan I. Avci, Baris Gungor, Fatih Yilmaz, Ibrahim H. Tanboga, Can Y. Karabay
Summary: This study found a significant relationship between the ABG/eAG ratio and NR in patients with STEMI after primary PCI, with the ABG/eAG ratio being one of the strong predictors of NR.
KARDIOLOGIA POLSKA
(2021)
Article
Cardiac & Cardiovascular Systems
Xue Gong, Xiaoting Lei, Zheyong Huang, Yanan Song, Qibing Wang, Juying Qian, Junbo Ge
Summary: Plasma D-dimer level can independently predict the occurrence of no-reflow in STEMI patients who underwent pPCI within 2-7 days of symptom onset, indicating its potential as a predictive factor.
JOURNAL OF CARDIOVASCULAR TRANSLATIONAL RESEARCH
(2021)
Article
Cardiac & Cardiovascular Systems
Qing Li, Enmin Xie, Yimin Tu, Yaxin Wu, Ziyu Guo, Peizhao Li, Yike Li, Xiaozhai Yu, Zixiang Ye, Changan Yu, Yanxiang Gao, Zheng Jingang
Summary: This study found that MAthrombin level is an independent risk factor for predicting slow-flow/no-reflow in STEMI patients undergoing primary PCI, with a nonlinear relationship between MAthrombin levels and slow-flow/no-reflow. Adverse clinical cardiovascular events in the long-term were also associated with slow-flow/no-reflow and MAthrombin levels.
INTERNATIONAL JOURNAL OF CARDIOLOGY
(2022)
Article
Medical Informatics
Lianxiang Deng, Xianming Zhao, Xiaolin Su, Mei Zhou, Daizheng Huang, Xiaocong Zeng
Summary: This study implemented a machine learning algorithm to predict the no reflow process and in-hospital death in ST-elevation myocardial infarction patients who underwent primary percutaneous coronary intervention. The results showed that the random forest algorithm had the best discrimination for the no reflow phenomenon and in-hospital mortality.
BMC MEDICAL INFORMATICS AND DECISION MAKING
(2022)
Article
Medicine, General & Internal
Xin Huang, Wen Zheng, Xue Dong Zhao, Shao Ping Nie
Summary: The CHA(2)DS(2)-VASc score >= 3 can be used as a simple and sensitive indicator to predict the risk of SF-NR phenomenon during PPCI in STEMI patients with MVD. Patients with higher CHA(2)DS(2)-VASc score, current smoking, atrial fibrillation, complete revascularization, and longer stents have an increased risk of SF-NR.
Article
Medicine, General & Internal
Tobias F. S. Pustjens, Marijke J. C. Timmermans, Saman Rasoul, Arnoud W. J. van't Hof
Summary: The study found that NSTE-ACS patients with MVD undergoing MV-PCI and CO-PCI had similar mortality rates at long-term follow-up, but the MV-PCI group showed improved event-free survival in terms of fewer coronary reinterventions.
JOURNAL OF CLINICAL MEDICINE
(2022)