Area at risk and collateral circulation in a first acute myocardial infarction with occluded culprit artery. STEMI vs non-STEMI patients
Area at risk and collateral circulation in a first acute myocardial infarction with occluded culprit artery. STEMI vs non-STEMI patients
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DOI：
10.1016/j.ijcard.2018.01.047
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发表时间：
2018-05-15
影响因子：
3.5
通讯作者：
Garcia-Dorado, David
中科院分区：
文献类型：
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作者：
Figueras, Jaume;Otaegui, Imanol;Garcia-Dorado, David
背景：目前尚不清楚为什么在首发急性心肌梗死和主因动脉闭塞的患者中只有一些表现为ST段抬高。事实上，没有研究比较首次NSTEMI和STEMI患者的血管造影危险区域和侧支循环。方法与结果：纳入205例心肌梗死合并罪魁动脉闭塞患者，其中STEMI 132例，NSTEMI 73例。比较两组的人口统计数据、BARI评分确定的危险区域和Rentrop评分确定的抵押品供应。NSTEMI患者的Tn I峰值在总体上低于STEMI，但在3个具有不同罪魁动脉的亚群中也是如此(p
Background: It is unclear why among patients with first acute myocardial infarction and an occluded culprit artery only some present ST segment elevation. In fact, there is no study that compares the angiographic area at risk and the collateral circulation in first NSTEMI vs STEMI patients.Methods and results: 205 patients admitted for myocardial infarction with occluded culprit artery were included, 132 STEMI and 73 NSTEMI. Demographic data, the area at risk determined by the BARI score and collateral supply by the Rentrop score from the 2 groups were compared. NSTEMI patients showed lower peak Tn I than STEMI in the overall group but also in the 3 subsets with different culprit arteries (p