Key result
Incomplete ST resolution persists in ~35% of STEMI patients after successful primary PCI.
Why the study?
The study was conducted to identify instances of partial ST resolution after primary PCI and investigate the characteristics associated with incomplete ST resolution.
What is the frequency of incomplete ST segment resolution after successful primary PCI in patients with acute STEMI?
Cross-Sectional (n=196)
No
What is the frequency of incomplete ST segment resolution after successful primary PCI in patients with acute STEMI?
A significant proportion (35.2%) of STEMI patients experience incomplete ST segment resolution despite successful primary PCI, with no clear association to baseline characteristics.
Answers are grounded in this paper and cite their sources.
Frequent incomplete ST resolution despite successful PCI in STEMI lacks baseline predictors; leaves open mechanistic insights and targeted therapies for prospective study.
The success of primary Percutaneous Coronary Intervention (PCI) can be verified on electrocardiogram through measuring ST Resolution (STR) and examination if their angiogram. Objective: The purpose of this research was to identify instances of after the primary PCI of partial STR and to investigate the characteristics associated with incomplete STR following primary PCI. Methods: At department of Interventional Cardiology of National Institute of Cardiovascular Disease (NICVD), Karachi, Pakistan, this Descriptive Cross-sectional study was conducted. The inclusion criteria set for data collection were patients with age between 18 to 65 years of both genders presented with complain of chest pain 12 hour previously and now diagnosed with acute STEMI, and undergoing successful primary PCI were included in the study. Results: Out of 196 patients, male was 74.5% while female were 25.5%. The Mean age of patients was 52.78±7.81 years. Out of 196 patients, with acute STEMI, 35.2% (69) had Incomplete STR after a successful primary PCI. When applying chi square on study variables with Incomplete STR after a successful primary PCI was found to be not associated with patient’s baseline characteristics. Conclusions: Our research discovered that a considerable proportion of patients with STEMI have Incomplete STR after first PCI. However, no correlation between STR and baseline patient characteristics was observed
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Jamil et al. (2022) conducted a cross-sectional in Acute ST-segment Elevation Myocardial Infarction (STEMI) (n=196). Primary Percutaneous Coronary Intervention (PPCI) was evaluated on Incomplete ST segment resolution (STR). Incomplete ST segment resolution occurred in 35.2% of acute STEMI patients after successful primary percutaneous coronary intervention, showing no significant association with baseline characteristics.
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