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Prediction of microvascular obstruction by coronary artery angiography score after acute ST-segment elevation myocardial infarction: a single-center retrospective observational study

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Title: Prediction of microvascular obstruction by coronary artery angiography score after acute ST-segment elevation myocardial infarction: a single-center retrospective observational study
Authors: Ziwen Li, Hongbin Yin, Dehua Wang, Yayun Zhang, Yongli Feng, Yi Zhou, Ying Zhou
Source: BMC Cardiovascular Disorders, Vol 22, Iss 1, Pp 1-9 (2022)
Publisher Information: BMC, 2022.
Publication Year: 2022
Collection: LCC:Diseases of the circulatory (Cardiovascular) system
Subject Terms: Cardiac magnetic resonance, Acute ST-segment elevation myocardial infarction, Microvascular occlusion, SYNTAX score, Gensini score, Diseases of the circulatory (Cardiovascular) system, RC666-701
More Details: Abstract Background Some coronary artery angiography (CAG) scores are associated with the no-reflow phenomenon after percutaneous coronary intervention (PCI) in patients with acute ST-segment elevation myocardial infarction (STEMI). However, quality evidence regarding the association between the CAG scores and microvascular injury is still needed. Our study aimed to validate the ability of the CAG scores in predicting microvascular obstruction (MVO) detected by cardiac magnetic resonance (CMR) imaging. Methods From October 2020 to October 2021, 141 consecutive patients with acute STEMI who underwent primary PCI and CMR were retrospectively reviewed. CMR imaging was performed between 3 and 7 days after PCI. The patients were divided into MVO and non-MVO group based on the CMR results. Three CAG scores (SYNTAX score, SYNTAX II score and Gensini score) were used to assess the severity of coronary artery atherosclerotic burden. Results A total of 122 patients were included (mean age 60.6 ± 12.8 years). MVO occurred in 51 patients (41.8%). Patients with MVO had higher SYNTAX scores, SYNTAX II scores and Gensini scores than those without MVO (all p
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1471-2261
Relation: https://doaj.org/toc/1471-2261
DOI: 10.1186/s12872-022-02836-x
Access URL: https://doaj.org/article/cd22927ab1f34d178eeed6fc28d2dfa9
Accession Number: edsdoj.22927ab1f34d178eeed6fc28d2dfa9
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  Data: <searchLink fieldCode="AR" term="%22Ziwen+Li%22">Ziwen Li</searchLink><br /><searchLink fieldCode="AR" term="%22Hongbin+Yin%22">Hongbin Yin</searchLink><br /><searchLink fieldCode="AR" term="%22Dehua+Wang%22">Dehua Wang</searchLink><br /><searchLink fieldCode="AR" term="%22Yayun+Zhang%22">Yayun Zhang</searchLink><br /><searchLink fieldCode="AR" term="%22Yongli+Feng%22">Yongli Feng</searchLink><br /><searchLink fieldCode="AR" term="%22Yi+Zhou%22">Yi Zhou</searchLink><br /><searchLink fieldCode="AR" term="%22Ying+Zhou%22">Ying Zhou</searchLink>
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  Data: BMC Cardiovascular Disorders, Vol 22, Iss 1, Pp 1-9 (2022)
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  Data: Abstract Background Some coronary artery angiography (CAG) scores are associated with the no-reflow phenomenon after percutaneous coronary intervention (PCI) in patients with acute ST-segment elevation myocardial infarction (STEMI). However, quality evidence regarding the association between the CAG scores and microvascular injury is still needed. Our study aimed to validate the ability of the CAG scores in predicting microvascular obstruction (MVO) detected by cardiac magnetic resonance (CMR) imaging. Methods From October 2020 to October 2021, 141 consecutive patients with acute STEMI who underwent primary PCI and CMR were retrospectively reviewed. CMR imaging was performed between 3 and 7 days after PCI. The patients were divided into MVO and non-MVO group based on the CMR results. Three CAG scores (SYNTAX score, SYNTAX II score and Gensini score) were used to assess the severity of coronary artery atherosclerotic burden. Results A total of 122 patients were included (mean age 60.6 ± 12.8 years). MVO occurred in 51 patients (41.8%). Patients with MVO had higher SYNTAX scores, SYNTAX II scores and Gensini scores than those without MVO (all p
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      – SubjectFull: Acute ST-segment elevation myocardial infarction
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