PMID- 24420418 OWN - NLM STAT- MEDLINE DCOM- 20141024 LR - 20211021 IS - 1875-8312 (Electronic) IS - 1569-5794 (Linking) VI - 30 IP - 2 DP - 2014 Feb TI - ST elevation acute myocardial infarction accelerates non-culprit coronary lesion atherosclerosis. PG - 253-61 LID - 10.1007/s10554-013-0354-z [doi] AB - The previously study found, using a mouse model, that acute myocardial infarction accelerated atherosclerosis. This study assessed whether ST elevation myocardial infarction (STEMI) accelerates the progression of non-culprit coronary lesion (NCCL) in patients who underwent percutaneous coronary interventions (PCI). Four hundred and forty-nine patients who underwent successful PCI with stents and follow-up coronary angiography in a single center were enrolled. The NCCL progression was assessed using three-dimensional quantitative coronary angiography and was defined as >/=10 % diameter reduction of a preexisting stenosis >/=50, >/=30 % diameter reduction of a stenosis <50 %, development of a new stenosis >/=30 % in a previously normal segment, or progression to total occlusion. The patients were classified into two groups according to whether the progression existed or not. The median age of patients was 58.4 years. The mean angiographic follow-up period was 12.3 months, 134 (29.8 %) patients had NCCL progression. Multivariate Cox regression analysis (step-wise) showed that STEMI was the only independent determinant of NCCL progression. Compared to the other coronary artery disease group, the crude hazard ratio (HR) of NCCL progression for the STEMI group was 3.20 (95 % CI 2.27-4.50; p < 0.001), and the association remained significantly after adjustment for age, sex, BMI, SBP, DBP, serum lipids, fasting blood glucose, peak monocyte count, smoking, drinking, hypertension, diabetes mellitus and lesion characteristics of NCCL (adjusted HR 3.56, 95 % CI 2.41-5.27; p < 0.001). The ST elevation acute myocardial infarction accelerates non-culprit coronary lesion atherosclerosis. FAU - Han, Yunfeng AU - Han Y AD - Department of Cardiology, Chinese PLA General Hospital, Beijing, China. FAU - Jing, Jing AU - Jing J FAU - Tu, Shengxian AU - Tu S FAU - Tian, Feng AU - Tian F FAU - Xue, Hao AU - Xue H FAU - Chen, Weiren AU - Chen W FAU - Chen, Jinsong AU - Chen J FAU - Reiber, Johan H C AU - Reiber JH FAU - Chen, Yundai AU - Chen Y LA - eng PT - Journal Article PT - Observational Study PT - Research Support, Non-U.S. Gov't DEP - 20140114 PL - United States TA - Int J Cardiovasc Imaging JT - The international journal of cardiovascular imaging JID - 100969716 SB - IM MH - Aged MH - Chi-Square Distribution MH - China MH - Coronary Angiography MH - Coronary Artery Disease/*complications/diagnosis/therapy MH - Coronary Occlusion/diagnosis/*etiology MH - Coronary Stenosis/*complications/diagnosis/therapy MH - Disease Progression MH - Female MH - Humans MH - Imaging, Three-Dimensional MH - Kaplan-Meier Estimate MH - Male MH - Middle Aged MH - Multivariate Analysis MH - Myocardial Infarction/diagnosis/*etiology/therapy MH - *Percutaneous Coronary Intervention/instrumentation MH - Predictive Value of Tests MH - Proportional Hazards Models MH - Radiographic Image Interpretation, Computer-Assisted MH - Retrospective Studies MH - Risk Factors MH - Severity of Illness Index MH - Stents MH - Time Factors MH - Treatment Outcome EDAT- 2014/01/15 06:00 MHDA- 2014/10/25 06:00 CRDT- 2014/01/15 06:00 PHST- 2013/09/27 00:00 [received] PHST- 2013/12/23 00:00 [accepted] PHST- 2014/01/15 06:00 [entrez] PHST- 2014/01/15 06:00 [pubmed] PHST- 2014/10/25 06:00 [medline] AID - 10.1007/s10554-013-0354-z [doi] PST - ppublish SO - Int J Cardiovasc Imaging. 2014 Feb;30(2):253-61. doi: 10.1007/s10554-013-0354-z. Epub 2014 Jan 14.