Prognostic significance of reciprocal ST segment depression resolution in patients with acute ST elevation myocardial infarction




Background


There is conflicting evidence regarding the prognostic significance of resolution of reciprocal ST segment depression (RSTD) in patients with ST elevation myocardial infarction (STEMI).




Objectives


We conducted a retrospective study to evaluate the prognostic significance of resolution of RSTD after percutaneous coronary intervention (PCI) in patients with STEMI.




Objectives


We conducted a retrospective study to evaluate the prognostic significance of resolution of RSTD after percutaneous coronary intervention (PCI) in patients with STEMI.




Methods


All patients with STEMI that were treated with PCI from January 2003 through May 2010 at our institute were included in the study. We collected demographic, clinical, electrocardiographic, and procedural characteristics in these patients. Resolution of RSTD was compared between the ECGs prior to and after PCI and patients were stratified into two groups. Group 1 consisted of patients with > 50% RSTD resolution, group 2 consisted of < 50% RSTD resolution. Patients with no available ECGs or no RSTD at presentation and patients with failed PCI were excluded from the analysis. Primary endpoint was one-year composite end-point of major adverse cardiac events (MACE), which consisted of all cause mortality, recurrent acute coronary syndrome, and stroke/transient ischemic attack (TIA). Secondary end points were in-hospital ventricular tachycardia (VT), ventricular fibrillation (VFib), cardiogenic shock (CS), and requirement for temporary or permanent pacemakers.

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Nov 16, 2017 | Posted by in CARDIOLOGY | Comments Off on Prognostic significance of reciprocal ST segment depression resolution in patients with acute ST elevation myocardial infarction

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