Coronary collateral circulation: Effects on outcomes of acute anterior myocardial infarction after primary percutaneous coronary intervention

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	Coronary collateral circulation: Effects on outcomes of acute anterior myocardial infarction after primary percutaneous coronary intervention
其他题名	Coronary collateral circulation:Effects on outcomes of acute anterior myocardial infarction after primary percutaneous coronary intervention
	Wang Bin; Han YaLing; Li Yi; Jing QuanMin; Wang ShouLi; Ma YingYan; Wang Geng; Luan Bo; Wang XiaoZeng
	2011
发表期刊	JOURNAL OF GERIATRIC CARDIOLOGY
ISSN	1671-5411
卷号	8 期号:2 页码:93-98
摘要	Background To investigate the effects of collateral coronary circulation on the outcome of the patients with anterior myocardial infarction (MI) with left anterior desending artery occlusion abruptly. Methods Data of 189 patients with acute anterior MI who had a primary percutaneous coronary intervention (PCI) in the first 12 h from the onset of symptoms between January 2004 and December 2008 were retrospective analyzed. Left anterior descending arteries (LAD) of all patients were occluded. LADs were reopened with primary PCI. According to the collateral circulation, all patients were classified to two groups: no collateral group (n = 111), patients without angiographic collateral filling of LAD or side branches (collateral index 0) and collateral group (n = 78), and patients with angiographic collateral filling of LAD or side branches (collateral index 1, 2 or 3). At one year's follow-up, the occurrence of death, reinfarction, stent thrombosis (ST), target vessel revascularization and readmission because of heart failure were observed. Results At one year, the mortality was lower in patients with collateral circulation compared with those without collateral circulation (1% vs. 8%, P = 0.049), whereas there were no differences in the occurrence of reinfarction, ST, target vessel revascularization and readmission because of heart failure. The occurrence of composite of endpoint was lower in patients with collateral circulation compared with those without collateral circulation (12% vs. 26%; P = 0.014). Conclusions Pre-exist collateral circulation may prefigure the satisfactory prognosis to the patients with acute anterior MI after primary PCI in the first 12 h of MI onset.
其他摘要	Background To investigate the effects of collateral coronary circulation on the outcome of the patients with anterior myocardial infarction (MI)with left anterior desending artery occlusion abruptly.Methods Data of 189 patients with acute anterior MI who had a primary percutaneous coronary intervention (PCI)in the first 12 h from the onset of symptoms between January 2004 and December 2008 were retrospective analyzed.Left anterior descending arteries (LAD)of all patients were occluded.LADs were reopened with primary PCI.According to the collateral circulation,all patients were classified to two groups:no collateral group (n = 111),patients without angiographic collateral filling of LAD or side branches (collateral index 0)and collateral group (n = 78),and patients with angiographic collateral filling of LAD or side branches (collateral index 1,2 or 3).At one year's follow-up,the occurrence of death,reinfarction,stent thrombosis (ST),target vessel revascularization and readmission because of heart failure were observed.Results At one year,the mortality was lower in patients with collateral circulation compared with those without collateral circulation (1% vs.8%,P = 0.049),whereas there were no differences in the occurrence of reinfarction,ST,target vessel revascularization and readmission because of heart failure.The occurrence of composite of endpoint was lower in patients with collateral circulation compared with those without collateral circulation (12% vs.26%; P = 0.014).Conclusions Pre-exist collateral circulation may prefigure the satisfactory prognosis to the patients with acute anterior MI after primary PCI in the first 12 h of MI onset.
关键词	TISSUE-PLASMINOGEN-ACTIVATOR THROMBOLYTIC THERAPY PRIMARY ANGIOPLASTY BLOOD-FLOW TIMI TRIAL PHASE-I ARTERY REPERFUSION STREPTOKINASE MORBIDITY collateral circulation myocardial infarction mortality left anterior descending artery
收录类别	CSCD
语种	英语
CSCD记录号	CSCD:4257988
引用统计
文献类型	期刊论文
条目标识符	http://ir.imr.ac.cn/handle/321006/152986
专题	中国科学院金属研究所
作者单位	中国科学院金属研究所
推荐引用方式 GB/T 7714	Wang Bin,Han YaLing,Li Yi,et al. Coronary collateral circulation: Effects on outcomes of acute anterior myocardial infarction after primary percutaneous coronary intervention[J]. JOURNAL OF GERIATRIC CARDIOLOGY,2011,8(2):93-98.
APA	Wang Bin.,Han YaLing.,Li Yi.,Jing QuanMin.,Wang ShouLi.,...&Wang XiaoZeng.(2011).Coronary collateral circulation: Effects on outcomes of acute anterior myocardial infarction after primary percutaneous coronary intervention.JOURNAL OF GERIATRIC CARDIOLOGY,8(2),93-98.
MLA	Wang Bin,et al."Coronary collateral circulation: Effects on outcomes of acute anterior myocardial infarction after primary percutaneous coronary intervention".JOURNAL OF GERIATRIC CARDIOLOGY 8.2(2011):93-98.