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The Importance of Intra-aortic Pulse Pressure After Anterior ST-segment Elevation Myocardial Infarction.
Gul, Ilker; Cerit, Levent; Senturk, Bihter; Alkan, Mustafa Beyazit; Kemal, Hatice; Cerit, Zeynep; Yaman, Belma; Usalp, Songul; Duygu, Hamza.
Afiliação
  • Gul I; Department of Cardiology, Near East University Faculty of Medicine, Nicosia, Cyprus.
  • Cerit L; Department of Cardiology, Near East University Faculty of Medicine, Nicosia, Cyprus.
  • Senturk B; Department of Cardiology, Dokuz Eylül University Faculty of Medicine, Izmir, Turkey.
  • Alkan MB; Department of Cardiology, Kas State Hospital, Antalya, Turkey.
  • Kemal H; Department of Cardiology, Near East University Faculty of Medicine, Nicosia, Cyprus.
  • Cerit Z; Department of Pediatric Cardiology, Near East University Faculty of Medicine, Nicosia, Cyprus.
  • Yaman B; Department of Cardiology, Near East University Faculty of Medicine, Nicosia, Cyprus.
  • Usalp S; Department of Cardiology, Near East University Faculty of Medicine, Nicosia, Cyprus.
  • Duygu H; Department of Cardiology, Near East University Faculty of Medicine, Nicosia, Cyprus.
Braz J Cardiovasc Surg ; 33(6): 579-587, 2018.
Article em En | MEDLINE | ID: mdl-30652747
OBJECTIVE: To evaluate the association of pulse pressure (PP) with mortality and major adverse cardiac events (MACE) in one-year period after anterior ST-elevation myocardial infarction (A-STEMI). METHODS: A total of 261 consecutive patients whose blood pressure was measured with the aid of a catheter before primary percutaneous coronary intervention (PPCI) between August 2016 and February 2017 were included in the study. The patients were divided into three groups according to pulse pressure (PP) (Group 1, PP<35 mmHg; Group 2, 35≤PP≤50 mmHg; Group 3, PP>50 mmHg). RESULTS: The mean age of the patients was 63.4±14.1 years, and 206 of them were male. The groups were similar in terms of age and diastolic blood pressure (DBP). The ratio of female patients in Group 1 was higher, and their systolic blood pressure (SBP) was lower than those from the other groups (P=0.005 vs. P=0.042). The rates of MACE and mortality were higher in Group 1. The predictive PP values were calculated to be 42.5 mmHg for development of MACE and 41.5 mmHg for mortality. One-year survival ratio was worse in Group 1 than in the others according to Kaplan-Meier analysis (P<0.001). CONCLUSION: The values of PP which was measured intra-aortically in patients with A-STEMI were associated with mortality and MACE in the one-year follow-up period.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pulso Arterial / Volume Sistólico / Pressão Sanguínea / Intervenção Coronária Percutânea / Infarto do Miocárdio com Supradesnível do Segmento ST Tipo de estudo: Etiology_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Braz J Cardiovasc Surg Assunto da revista: ANGIOLOGIA / CARDIOLOGIA Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Chipre País de publicação: Brasil
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pulso Arterial / Volume Sistólico / Pressão Sanguínea / Intervenção Coronária Percutânea / Infarto do Miocárdio com Supradesnível do Segmento ST Tipo de estudo: Etiology_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Braz J Cardiovasc Surg Assunto da revista: ANGIOLOGIA / CARDIOLOGIA Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Chipre País de publicação: Brasil