PMID- 25516137
OWN - NLM
STAT- MEDLINE
DCOM- 20170623
LR  - 20170623
IS  - 1827-1618 (Electronic)
IS  - 0026-4725 (Linking)
VI  - 64
IP  - 4
DP  - 2016 Aug
TI  - The relationship between culprit artery and the clinical outcomes in patients 
      undergoing primary percutaneous coronary intervention for inferior wall ST 
      segment elevation myocardial infarction.
PG  - 367-74
AB  - BACKGROUND: We observed the effect of culprit artery in patients undergoing 
      primary percutaneous coronary intervention (PCI) caused by inferior wall ST 
      elevation myocardial infarction (STEMI) during hospital stay and 6-month 
      follow-ups. METHODS: After exclusion, 233 consecutive patients with inferior wall 
      STEMI (mean age: 55.6+/-12.4 years) undergoing primary PCI were prospectively 
      enrolled in this study. Patients were divided into two groups according to 
      culprit artery: right coronary artery (RCA=group 1 [N.=187]) and left circumflex 
      artery (LCX=group 2 [N.=46]). Patients were followed up for six months. RESULTS: 
      Patients of both groups had similar risk factors such as age, sex, hypertension 
      and diabetes mellitus. While there were more cases of right ventricular 
      infarction (P=0.001), complete atrioventricular block (P=0.002) and proximal 
      located lesions (P=0.002) in RCA group, there was less collateral circulation 
      incidence in LCX group (P=0.04). Ratios of no-reflow and myocardial blush grade 
      after primary PCI were similiar in both groups. There was no significant 
      difference between groups associated with major adverse cardiac events (MACE), 
      target-vessel revascularization and mortality ratios during hospital stay and 
      6-month follow-up period. CONCLUSIONS: The impact of RCA and LCX on MACE and 
      cardiovascular mortality during hospital stay and the 6-month follow-up 
      (mid-term) period are similar in patients on whom primary PCI was performed due 
      to inferior wall STEMI.
FAU - Ayhan, Erkan
AU  - Ayhan E
AD  - Department of Cardiology, Medical Park Hospital, Bursa, Turkey - 
      erkayh@gmail.com.
FAU - Isik, Turgay
AU  - Isik T
FAU - Ghannadian, Bahman
AU  - Ghannadian B
FAU - Akgul, Ozgur
AU  - Akgul O
FAU - Alagic, Nermina
AU  - Alagic N
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20141217
PL  - Italy
TA  - Minerva Cardioangiol
JT  - Minerva cardioangiologica
JID - 0400725
SB  - IM
MH  - Adult
MH  - Aged
MH  - Coronary Vessels/*diagnostic imaging
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Percutaneous Coronary Intervention/*methods
MH  - Prospective Studies
MH  - Risk Factors
MH  - ST Elevation Myocardial Infarction/mortality/*pathology/*surgery
MH  - Treatment Outcome
EDAT- 2014/12/18 06:00
MHDA- 2017/06/24 06:00
CRDT- 2014/12/18 06:00
PHST- 2014/12/18 06:00 [entrez]
PHST- 2014/12/18 06:00 [pubmed]
PHST- 2017/06/24 06:00 [medline]
AID - R05Y9999N00A140074 [pii]
PST - ppublish
SO  - Minerva Cardioangiol. 2016 Aug;64(4):367-74. Epub 2014 Dec 17.