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- Title
Usefulness of the CHA2DS2-VASc Score to Predict "St Segment Resolution Failure" In Patients Treated with Primary Percutaneous Coronary Intervention for St-Segment Elevation Myocardial Infarction.
- Authors
Aksoy, Fatih; Işık, İsmail Barkın; Baş, Hasan aydin; Bağcı, Ali; Kahraman, Fatih; Okudan, Yunus Emre; Kuyumcu, Mevlüt Serdar; Altınbaş, Ahmet
- Abstract
Objective: Rapid supply of coronary blood flow in the occluded coronary artery is the principle aim of early ST-elevation myocardial infarction (STEMI) therapy. Although coronary blood flow has been supplied, insufficient myocardial reperfusion mainly at the level of micro vascular circulation has been assessed a large number of patients. Electrocardiographically by measuring ST-segment resolution (STR) after procedure is an easy and good indicator for the evaluation of reperfusion failure. The CHA2DS2-VASc risk score is used to predict the risk of thromboembolism in non-valvular AF patients. Its usefulness in predicting AF in the development of STR failure in patients presenting with STEMI is unknown. We evaluated the predictive value of the CHA2DS2-VASc score in patients with STR failure following STEMI. Methods: Models including clinical and laboratory parameters were constructed to test the predictive value of CHA2DS2-VASc and CHA2DS2-VASc -HS scores. Patients were divided into two groups: those with STR> 70 % and those without STR> 70. Predictors of STR failure were determined by multivariate regression analysis. Conclusion: CHA2DS2-VASc and CHA2DS2-VASc -HS scores predict STR failure in patients presenting STEMI. Results: Multiple regression analysis showed that CHA2DS2-VASc-HS score, Anterior STEMI, peak CK-MB level and symptom to percutaneous coronary intervention time were associated with development of STR failure in patients presenting with STEMI. ROC curve analyses showed that CHA2DS2-VASc and CHA2DS2-VASc -HS scores were significant predictors for STR failure.
- Subjects
MYOCARDIAL infarction; BLOOD flow
- Publication
Dicle Medical Journal / Dicle Tip Dergisi, 2019, Vol 46, Issue 4, p847
- ISSN
1300-2945
- Publication type
Article
- DOI
10.5798/dicletip.570650