PMID- 38016743
OWN - NLM
STAT- MEDLINE
DCOM- 20231130
LR  - 20231216
IS  - 1658-3175 (Electronic)
IS  - 0379-5284 (Print)
IS  - 0379-5284 (Linking)
VI  - 44
IP  - 12
DP  - 2023 Dec
TI  - Impact of left atrial diameter on all-cause mortality of patients with STEMI 
      undergoing primary percutaneous coronary intervention.
PG  - 1260-1268
LID - 10.15537/smj.2023.44.12.20230235 [doi]
AB  - OBJECTIVES: To evaluating the predictive significance of the left atrial diameter 
      in acute ST elevation myocardial infarction (STEMI) patients undergoing primary 
      percutaneous coronary intervention (PCI). METHODS: The STEMI population came from 
      2 retrospective cohorts with 1097 patients, cohorts A (YongChuan Hospital) and 
      cohorts B (Taizhou First People's Hospital). Within 3 days (cohort A) or 5 days 
      (cohort B) post-PCI, patients underwent ultrasound evaluations. Cohort A was 
      segmented into quartile categories based on eft atrial diameter (LAd) (Q1 to Q4). 
      The odds ratios (ORs) for overall mortality were assessed using logistic 
      regression. Cohort B was used for sensitivity analysis. RESULTS: During follow-up 
      period, 226 (20.6%) patients experienced endpoint. In cohort A, univariable odds 
      ratios were 2.68 (95%CI 1.11~6.89), 5.32 (95%CI 2.46~12.83) and 11.92 (95%CI 
      5.78~27.92), while multivariate ORs were 2.25 (95%CI 0.82~6.55), 5.09 (95%CI 
      2.12~13.56), and 15.05 (95%CI 6.58~39.09) in Q2 to Q4 group, respectively, 
      compared with Q1 group (p for trend <0.001). Upon subgroup evaluation, the 
      correlation between LAd and the likelihood of overall mortality was more 
      pronounced in patients having a left ventricular ejection fraction (LVEF) between 
      40% and 50%, and those with LVEF >/=50%, in contrast to those with LVEF <40% (p for 
      interaction <0.001). CONCLUSION: Left atrial diameter is indicative of the 
      long-term overall mortality risk in STEMI patients post-PCI, particularly in 
      those with an LVEF >/= 40%.
CI  - Copyright: (c) Saudi Medical Journal.
FAU - Wang, Kai
AU  - Wang K
AD  - From the Department of Cardiology (Wang, Zeng, Chen), Yongchuan Hospital of 
      Chongqing Medical University; and form the Department of Cardiology (Chen, Yu), 
      The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
FAU - Zeng, Deli
AU  - Zeng D
AD  - From the Department of Cardiology (Wang, Zeng, Chen), Yongchuan Hospital of 
      Chongqing Medical University; and form the Department of Cardiology (Chen, Yu), 
      The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
FAU - Chen, Zijun
AU  - Chen Z
AD  - From the Department of Cardiology (Wang, Zeng, Chen), Yongchuan Hospital of 
      Chongqing Medical University; and form the Department of Cardiology (Chen, Yu), 
      The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
FAU - Yu, Wei
AU  - Yu W
AUID- ORCID: 0009-0007-4795-4732
AD  - From the Department of Cardiology (Wang, Zeng, Chen), Yongchuan Hospital of 
      Chongqing Medical University; and form the Department of Cardiology (Chen, Yu), 
      The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
LA  - eng
PT  - Journal Article
PL  - Saudi Arabia
TA  - Saudi Med J
JT  - Saudi medical journal
JID - 7909441
SB  - IM
MH  - Humans
MH  - *ST Elevation Myocardial Infarction/surgery
MH  - *Percutaneous Coronary Intervention/adverse effects
MH  - Stroke Volume
MH  - Retrospective Studies
MH  - Ventricular Function, Left
MH  - *Atrial Fibrillation
MH  - Treatment Outcome
PMC - PMC10712788
OTO - NOTNLM
OT  - heart atrial
OT  - mortality
OT  - myocardial infarction
OT  - prognosis
EDAT- 2023/11/29 00:42
MHDA- 2023/11/30 06:43
PMCR- 2023/12/01
CRDT- 2023/11/28 20:43
PHST- 2023/08/14 00:00 [received]
PHST- 2023/10/17 00:00 [accepted]
PHST- 2023/11/30 06:43 [medline]
PHST- 2023/11/29 00:42 [pubmed]
PHST- 2023/11/28 20:43 [entrez]
PHST- 2023/12/01 00:00 [pmc-release]
AID - 44/12/1260 [pii]
AID - SaudiMedJ-44-12-1260 [pii]
AID - 10.15537/smj.2023.44.12.20230235 [doi]
PST - ppublish
SO  - Saudi Med J. 2023 Dec;44(12):1260-1268. doi: 10.15537/smj.2023.44.12.20230235.