PMID- 38161757 OWN - NLM STAT- MEDLINE DCOM- 20240103 LR - 20240106 IS - 2075-0528 (Electronic) IS - 2075-051X (Print) IS - 2075-051X (Linking) VI - 23 IP - Spec Iss DP - 2023 Dec TI - Angiographic Predictors of Viability During Intervention for a ST Elevation Myocardial Infarction. PG - 38-43 LID - 10.18295/squmj.12.2023.078 [doi] AB - OBJECTIVES: This study aimed to identify angiographic features that would predict myocardial viability after coronary intervention for ST elevation myocardial infarction (STEMI). METHODS: This retrospective study included patients who attended Sultan Qaboos University Hospital, Muscat, Oman, between January and December 2019 with a STEMI. RESULTS: A total of 72 patients (61 male; mean age = 54.9 +/- 12.7 years) were included in the study; 11 patients had evidence of non-viability on echocardiography. There were 13 patients with viable myocardium and 3 with non-viable myocardium who had a myocardial blush grade (MBG) of 2 or lower. Similarly, 10 patients with viability and 1 with non-viable myocardium had thrombolysis in myocardial infarction (TIMI) flow of 2 or lower in the infarct related artery (IRA). However, none of these were statistically significant. The TIMI flow in the IRA at the end of the procedure correlated with the MBG. CONCLUSION: There were no clear angiographic features during primary angioplasty that could predict myocardial viability. CI - (c) Copyright 2023, Sultan Qaboos University Medical Journal, All Rights Reserved. FAU - Al-Maashari, Suhaib AU - Al-Maashari S AD - Departments of Clinical Physiology. FAU - Al-Malki, Yasir AU - Al-Malki Y AD - Departments of Clinical Physiology. FAU - Al Lawati, Hatim AU - Al Lawati H AD - Medicine, Sultan Qaboos University Hospital, Sultan Qaboos University, Muscat, Oman. FAU - Al-Riyami, Adil AU - Al-Riyami A AD - Medicine, Sultan Qaboos University Hospital, Sultan Qaboos University, Muscat, Oman. FAU - Nadar, Sunil K AU - Nadar SK AD - Medicine, Sultan Qaboos University Hospital, Sultan Qaboos University, Muscat, Oman. LA - eng PT - Journal Article DEP - 20231130 PL - Oman TA - Sultan Qaboos Univ Med J JT - Sultan Qaboos University medical journal JID - 101519915 SB - IM MH - Humans MH - Male MH - Adult MH - Middle Aged MH - Aged MH - *ST Elevation Myocardial Infarction/diagnostic imaging/surgery MH - *Myocardial Infarction/diagnostic imaging/surgery MH - Retrospective Studies MH - Coronary Angiography MH - Angioplasty PMC - PMC10754314 OTO - NOTNLM OT - Coronary Angiography OT - Myocardial infarction OT - Oman OT - Viability COIS- CONFLICTS OF INTEREST: The authors declare no conflict of interests. EDAT- 2024/01/02 11:43 MHDA- 2024/01/03 09:42 PMCR- 2023/12/01 CRDT- 2024/01/01 04:09 PHST- 2023/05/08 00:00 [received] PHST- 2023/08/09 00:00 [revised] PHST- 2023/09/20 00:00 [accepted] PHST- 2024/01/03 09:42 [medline] PHST- 2024/01/02 11:43 [pubmed] PHST- 2024/01/01 04:09 [entrez] PHST- 2023/12/01 00:00 [pmc-release] AID - squmj2312-38-43 [pii] AID - 10.18295/squmj.12.2023.078 [doi] PST - ppublish SO - Sultan Qaboos Univ Med J. 2023 Dec;23(Spec Iss):38-43. doi: 10.18295/squmj.12.2023.078. Epub 2023 Nov 30.