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Coronary collateral circulation: Effects on outcomes of acute anterior myocardial infarction after primary percutaneous coronary intervention
Alternative TitleCoronary 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
Source PublicationJOURNAL OF GERIATRIC CARDIOLOGY
ISSN1671-5411
Volume8Issue:2Pages:93-98
AbstractBackground 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.
Other AbstractBackground 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.
KeywordTISSUE-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
Indexed ByCSCD
Language英语
CSCD IDCSCD:4257988
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Document Type期刊论文
Identifierhttp://ir.imr.ac.cn/handle/321006/152988
Collection中国科学院金属研究所
Affiliation中国科学院金属研究所
Recommended Citation
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.
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