The factors studied for prediction of coronary no-reflow in patients with STEMI after emergency coronary intervention with primary drug-eluted stenting
10.3760/cma.j.issn.1671-0282.2011.11.015
- VernacularTitle:急性心肌梗死急诊介入后无复流的预测模型
- Author:
Changhua WANG
;
Yundai CHEN
;
Xinchun YANG
;
Lefeng WANG
;
Hongshi WANG
;
Zhijun SUN
;
Hongbin LIU
;
Lian CHEN
- Publication Type:Journal Article
- Keywords:
Acute ST-elevation myocardial infarction;
Primary percutaneous drug-eluting stenting;
No-reflow
- From:
Chinese Journal of Emergency Medicine
2011;20(11):1170-1173
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess independent no-reflow predictors in patients with STEMI after primary drug-eluted stenting.Method A prospective study was carried out in 1413 patients with STEMI treated with primary drug-eluted stenting within 12 hours after onset of AMI from January 2007 through March 2010.The patients were divided into the no-reflow group and the normal reflow group.Univariate and multivariate logistic regression were applied to identification of no-reflow predictors.Results The no-reflow was found in 297(21.0％)of 1413 patients.Univariate and multivariate logistic regression identified that age ＞65 years,long time from onset to reperfusion ＞6 hours,admission plasma glucose(APG)＞ 13.0mmol/L,collateral circulation ≤ 1,pre-percutaneous coronary intervention(PCI)thrombus score ≥ 4,and intra-aortic balloon pump(IABP)used before PCI(P ＜0.05)were independent no-reflow predictors.The no-reflow rate significantly increased as the number of predictors increased(P ＜ 0.01).Conclusions There are 6 factors associated with coronary no-reflow used for prediction in patients with STEMI after primary drug-eluted stenting.
