Title: Abstract 12525: Persistent No Reflow Phenomenon After Percutaneous Coronary Intervention in Patients With Acute Myocardial Infarction Was Associated With a Poor In-Hospital Outcome and Increased Long-Term Mortality, Mainly Driven by Increased Cardiac Mortality
Abstract: Introduction: There is limited information on the transient or persistent no reflow phenomena in patients with acute myocardial infarction (AMI) undergoing percutaneous coronary intervention (PCI). Hypothesis: We aimed to evaluate the long-term clinical outcomes of transient of persistent no reflow phenomenon following PCI in patients with AMI. Methods: The study analyzed 4329 patients with AMI who underwent PCI using coronary stents in the COnvergent REgistry of cAtholic and chonnAm university for Acute MI (COREA-AMI) from 2004 to 2009 (2668 ST-elevation and 1661 non-ST-elevation MI patients): 4071 patients without any no reflow during PCI, 213 patients with transient no reflow (final thrombolysis in myocardial infarction [TIMI] flow grade 3 after adequate management of no reflow), and 45 patients with persistent no reflow (final TIMI flow grade ≤ 2 despite of management for no reflow). The primary endpoint was all-cause mortality during 3-year follow-up. We also analyzed the incidence of cardiac death, ...
Publication Year: 2014
Publication Date: 2014-11-25
Language: en
Type: article
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