Intracoronary ST-Segment Shift Soon After Elective Percutaneous Coronary Intervention Accurately Predicts Periprocedural Myocardial Injury
| العنوان: | Intracoronary ST-Segment Shift Soon After Elective Percutaneous Coronary Intervention Accurately Predicts Periprocedural Myocardial Injury |
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| المؤلفون: | Riccardo Michi, Maurice Child, E. Petrucci, Vruyr Balian, Michele Galli, Claudio Marcassa, Fabio Barlocco, Gianni Cecchin, Giulia Filippini, Marco Onofri |
| المصدر: | Circulation. 114:1948-1954 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2006. |
| سنة النشر: | 2006 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, medicine.medical_treatment, Cardiac marker, Myocardial Infarction, Electrocardiography, Intraoperative Period, Physiology (medical), Angioplasty, Internal medicine, Troponin I, medicine, Creatine Kinase, MB Form, Humans, Myocardial infarction, Angioplasty, Balloon, Coronary, medicine.diagnostic_test, business.industry, Percutaneous coronary intervention, Middle Aged, medicine.disease, Conventional PCI, Cardiology, Female, Myocardial infarction diagnosis, Cardiology and Cardiovascular Medicine, business, Follow-Up Studies |
| الوصف: | Background— Elevation of cardiac biomarkers after coronary angioplasty (percutaneous coronary intervention [PCI]) reflects periprocedural myocardial damage and is associated with adverse cardiac events. We assessed whether periprocedural myocardial damage that occurs despite successful PCI could be rapidly and easily identified by intracoronary ST-segment recording with the use of a catheter guidewire. Methods and Results— In 108 consecutive stable patients undergoing elective single-vessel PCI, we recorded unipolar ECG from the intracoronary guidewire in the distal coronary before PCI and 2 minutes after the last balloon inflation. After PCI, intracoronary ST-segment shift ≥1 mm from baseline was considered significant. Troponin I levels were measured at baseline and at 8 and 24 hours after intervention, and myocardial damage was defined as troponin I increase above the upper normal value after intervention. All patients had normal cardiac marker values before PCI, and PCI was successful in all (residual stenosis P P P 2 =4.0; P Conclusions— After successful single-vessel PCI, intracoronary ST-segment shift allows the prompt and inexpensive identification of patients developing myocardial injury, who may require adjunctive therapy and longer in-hospital stay. |
| تدمد: | 1524-4539 0009-7322 |
| DOI: | 10.1161/circulationaha.106.620476 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ebdda57c1aed2df60b7f7f3c87fc2466 https://doi.org/10.1161/circulationaha.106.620476 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....ebdda57c1aed2df60b7f7f3c87fc2466 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15244539 00097322 |
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| DOI: | 10.1161/circulationaha.106.620476 |