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| Natura: | Artículo científico |
| Lingua: | en |
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Sociedade Brasileira de Cirurgia Cardiovascular
2018
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| Accesso online: | https://www.redalyc.org/articulo.oa?id=398957817010 https://www.redalyc.org/journal/3989/398957817010/ https://www.redalyc.org/journal/3989/398957817010/html/ https://www.redalyc.org/journal/3989/398957817010/398957817010.epub https://www.redalyc.org/journal/3989/398957817010/movil |
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Sommario:
- The Importance of Intra-aortic Pulse Pressure After Anterior ST-segment Elevation Myocardial Infarction Ilker Gul Levent Cerit Bihter Senturk Mustafa Beyazıt Alkan Hatice Kemal Zeynep Cerit Belma Yaman Songul Usalp Hamza Duygu Medicina Treatment Outcome Myocardial Infarction Cardiac Catheterization ST Elevation Myocardial Infarction Objective: To evaluate the association of pulse pressure (PP) with mortality and major adverse cardiac events (MACE) in one-year period after anterior ST-elevation myocardial infarction (A-STEMI). Methods: A total of 261 consecutive patients whose blood pressure was measured with the aid of a catheter before primary percutaneous coronary intervention (PPCI) between August 2016 and February 2017 were included in the study. The patients were divided into three groups according to pulse pressure (PP) (Group 1, PP<35 mmHg; Group 2, 35≤PP≤50 mmHg; Group 3, PP>50 mmHg). Results: The mean age of the patients was 63.4±14.1 years, and 206 of them were male. The groups were similar in terms of age and diastolic blood pressure (DBP). The ratio of female patients in Group 1 was higher, and their systolic blood pressure (SBP) was lower than those from the other groups (P=0.005 vs. P=0.042). The rates of MACE and mortality were higher in Group 1. The predictive PP values were calculated to be 42.5 mmHg for development of MACE and 41.5 mmHg for mortality. One-year survival ratio was worse in Group 1 than in the others according to Kaplan-Meier analysis (P<0.001). Conclusion: The values of PP which was measured intraaortically in patients with A-STEMI were associated with mortality and MACE in the one-year follow-up period. Keywords: Myocardial Infarction. Treatment Outcome. Cardiac Catheterization. ST Elevation Myocardial Infarction. 2018 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398957817010 https://www.redalyc.org/journal/3989/398957817010/ https://www.redalyc.org/journal/3989/398957817010/html/ https://www.redalyc.org/journal/3989/398957817010/398957817010.epub https://www.redalyc.org/journal/3989/398957817010/movil 10.21470/1678-9741-2018-0106 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.6 Vol.33