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Comparison of myocardial perfusion after successful primary percutaneous coronary intervention in patients with ST-elevation myocardial infarction with versus without diabetes mellitus

  • Jorik R. Timmer
  • , Iwan C.C. Van Der Horst
  • , Giuseppe De Luca
  • , Jan Paul Ottervanger
  • , Jan C.A. Hoorntje
  • , Menko Jan De Boer
  • , Harry Suryapranata
  • , Jan Henk E. Dambrink
  • , Marcel Gosselink
  • , Felix Zijlstra
  • , Arnoud W.J. Van 'T Hof

Risultato della ricerca: Contributo su rivistaArticolo in rivistapeer review

Abstract

Patients with diabetes mellitus (DM) have an adverse prognosis after ST-segment elevation myocardial infarction (STEMI). Whether DM was associated with impaired myocardial reperfusion after successful primary percutaneous coronary intervention for STEMI was investigated. Myocardial reperfusion was assessed by ST-segment resolution and myocardial blush grade (MBG). A total of 386 patients were studied, of whom 64 (17%) had DM. These patients more frequently had reduced MBG (20% vs 10%, p = 0.02) and incomplete ST-segment resolution (55% vs 35%, p = 0.02) compared with patients without DM. After multivariate analysis, DM was still associated with impaired ST resolution (odds ratio 2.1, p = 0.03) and reduced MBG (odds ratio 2.2, p = 0.03).

Lingua originaleInglese
pagine (da-a)1375-1377
Numero di pagine3
RivistaAmerican Journal of Cardiology
Volume95
Numero di pubblicazione11
DOI
Stato di pubblicazionePubblicato - 1 giu 2005
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