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ST-segment elevation myocardial infarction with non-obstructive coronary arteries: Score derivation for prediction based on a large national registry.
Jedrychowska, Magdalena; Siudak, Zbigniew; Malinowski, Krzysztof Piotr; Zandecki, Lukasz; Zabojszcz, Michal; Kameczura, Tomasz; Mika, Piotr; Bartus, Krzysztof; Wanha, Wojciech; Wojakowski, Wojciech; Legutko, Jacek; Bartus, Stanislaw; Januszek, Rafal.
Afiliación
  • Jedrychowska M; 2nd Department of Cardiology and Cardiovascular Interventions, University Hospital, Kraków, Poland.
  • Siudak Z; Collegium Medicum, Jan Kochanowski University, Kielce, Poland.
  • Malinowski KP; 2nd Department of Cardiology, Jagiellonian University Medical College, Kraków, Poland.
  • Zandecki L; Collegium Medicum, Jan Kochanowski University, Kielce, Poland.
  • Zabojszcz M; Collegium Medicum, Jan Kochanowski University, Kielce, Poland.
  • Kameczura T; Chair of Electroradiology, Faculty of Medicine, University of Rzeszów, Rzeszów, Poland.
  • Mika P; Department of Clinical Rehabilitation, University School of Physical Education, Kraków, Poland.
  • Bartus K; Department of Cardiovascular Surgery and Transplantology, Jagiellonian University Medical College, John Paul II Hospital, Kraków, Poland.
  • Wanha W; Department of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland.
  • Wojakowski W; Department of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland.
  • Legutko J; Department of Interventional Cardiology, Institute of Cardiology, Jagiellonian University Medical College, John Paul II Hospital, Kraków, Poland.
  • Bartus S; 2nd Department of Cardiology and Cardiovascular Interventions, University Hospital, Kraków, Poland.
  • Januszek R; 2nd Department of Cardiology, Jagiellonian University Medical College, Kraków, Poland.
PLoS One ; 16(8): e0254427, 2021.
Article en En | MEDLINE | ID: mdl-34351919
BACKGROUND: Acute myocardial infarction with ST-segment elevation (STEMI) and obstructive coronary arteries (MI-CAD) are treated with primary percutaneous coronary interventions (pPCI), while patients with STEMI and non-obstructive coronary arteries (MINOCA), usually require non-invasive therapy. The aim of the study is to design a score for predicting suspected MINOCA among an overall group of STEMI patients. MATERIALS AND METHODS: Based on the Polish national registry of PCIs, we evaluated patients between 2014 and 2019, and selected 526,490 subjects treated with PCI and 650,728 treated using only coronary angiography. These subjects were chosen out of 1,177,218 patients who underwent coronary angiography. Then, we selected 124,663 individuals treated with pPCI due to STEMI and 5,695 patients with STEMI and MINOCA. The score for suspected MINOCA was created using the regression model, while the coefficients calculated for the final model were used to construct a predictive model in the form of a nomogram. RESULTS: Patients with MINOCA differ significantly from those in the MI-CAD group; they were significantly younger, less often males and demonstrated smaller burden of concomitant diseases. The model allowed to show that patients who scored more than 600 points had a 19% probability of MINOCA, while for those scoring more than 650 points, the likelihood was 71%. The other end of the MINOCA probability scale was marginal for patients who scored less than 500 points (< .2%). CONCLUSIONS: Based on the created MINOCA score presented in the current publication, we are able to distinguish MINOCA from MI-CAD patients in the STEMI group.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sistema de Registros / Angiografía Coronaria / Vasos Coronarios / Intervención Coronaria Percutánea / Infarto del Miocardio con Elevación del ST / Modelos Cardiovasculares Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: PLoS One Asunto de la revista: CIENCIA / MEDICINA Año: 2021 Tipo del documento: Article País de afiliación: Polonia Pais de publicación: Estados Unidos
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sistema de Registros / Angiografía Coronaria / Vasos Coronarios / Intervención Coronaria Percutánea / Infarto del Miocardio con Elevación del ST / Modelos Cardiovasculares Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: PLoS One Asunto de la revista: CIENCIA / MEDICINA Año: 2021 Tipo del documento: Article País de afiliación: Polonia Pais de publicación: Estados Unidos