Key result
Angiographically detected distal embolization after primary PCI was associated with significantly increased short-term mortality (29.6% vs 7.5%, P=0.002).
Why the study?
Does distal embolization after primary PCI increase the risk of short-term mortality and target vessel revascularization in patients with acute myocardial infarction?
Population
n=212 consecutive patients with acute myocardial infarction of ≤ 12-h duration undergoing primary…
Comparison
Primary percutaneous coronary intervention… vs Primary percutaneous coronary intervention…
Design
Cohort
Follow-up
30 days
Authors
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Highlights distal embolization as a prognostic marker after primary PCI; hypothesis-generating and requires prospective confirmation before guiding practice.
Cohort (n=212)
Does distal embolization after primary PCI increase the risk of short-term mortality and target vessel revascularization in patients with acute myocardial infarction?
Absolute Event Rate: 29.6% vs 7.5%
p-value: p=0.002
High thrombus burden and long target lesions independently predict distal embolization during primary PCI, which is associated with significantly higher 30-day mortality and target vessel revascularization.
İzgi et al. (2007) conducted a cohort in Acute myocardial infarction (n=212). Distal embolization vs. No distal embolization was evaluated on Short-term mortality (p=0.002). Angiographically detected distal embolization after primary PCI was associated with significantly increased short-term mortality (29.6% vs 7.5%, P=0.002).
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