1. Prevalencia e implicaciones pronósticas del fenómeno de no reflujo en pacientes sometidos a intervencionismo coronario percutáneo primario en un centro universitario de un país de ingresos medios.
- Author
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Godínez-Córdova, Luis B., González-Pacheco, Héctor, Eid-Lidt, Guering, Manzur-Sandoval, Daniel, Gopar-Nieto, Rodrigo, Sierra-Lara-Martínez, Daniel, Briseño-de la Cruz, José L., Araiza-Garaygordobil, Diego, Mendoza-García, Salvador, Altamirano-Castillo, Alfredo, and Arias-Mendoza, Alexandra
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ANTERIOR wall myocardial infarction , *MYOCARDIAL infarction , *MIDDLE-income countries , *HOSPITAL emergency services , *PERCUTANEOUS coronary intervention , *MORTALITY - Abstract
Objective: To analyze the prevalence of no-reflow and the 30-day mortality in a university center in a middle-income country. Method: We analyzed 2463 patients who underwent primary PCI from January 2006 to December 2021. The outcome measure was 30-day mortality. Results: Of a total of 2463 patients, no-reflow phenomenon was found in 413 (16.8%) patients, 30-day mortality was 16.7 vs. 4.29% (p < 0.001). Patients with no-reflow were older 60 (53-69.5) vs. 59 (51-66) (p = 0.001), with a higher delay in onset of symptom to emergency department arrival 270 vs. 247 min (p = 0.001). No-reflow patients also had had fewer previous myocardial infarction, 11.6 vs. 18.4 (p = 0.001) and a Killip class 1, 37 vs. 26% (p < 0.001). No-reflow patients were more likely to have an anterior myocardial infarction (55.4 vs. 47.8%; p = 0.005) and initial TIMI flow 0 (76 vs. 68%; p < 0.001). Conclusion: No-reflow occurred in 16.8% of STEMI patients undergoing primary PCI and was more likely with older age, delayed presentation, anterior myocardial infarction and Killip class > 1. No-reflow was associated with a higher mortality at 30-day follow-up. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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