Angiographic and clinical predictors of Non-culprit coronary Lesion Progression after Percutaneous coronary intervention in Patients with ST-Elevation Myocardial Infarction. | ||
| Zagazig University Medical Journal | ||
| Article 22, Volume 30, Issue 1.1, January and February 2024, Pages 162-171 PDF (906.95 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/zumj.2021.63229.2135 | ||
| Authors | ||
| Masoud Mohamed Masoud* 1; Waleed Salim Elawady2; Mahmoud Diaa El-Menshawy1; Islam Mohamed Shehata1 | ||
| 1Cardiology Department, Faculty of Medicine, Zagazig University, Zagazig , Egypt | ||
| 2Cardiology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt | ||
| Abstract | ||
| Background: Most of cardiovascular (CV) events in ST-elevation myocardial infarction (STEMI) patients undergoing primary percutaneous coronary intervention (PPCI) are linked to the progression of non-culprit coronary lesions (NCCLs) during the follow-up period. Yet, the clinical and angiographic risk factors of non-culprit coronary lesion (NCCL) progression are not well known. Objectives: To assess the clinical risk profile and angiographic features that can be related to the progression of non-culprit lesions (NCLs) of patients with STEMI undergoing PCI over 24 months duration. Subjects and methods: The present cohort study evaluated 200 patients with STEMI underwent PCI to the culprit lesion and have mild non culprit lesion (NCL) 1.4mmol/L) (OR:54.656, 95% CI: 4.052 to 737.256; p= 0.003), Complex culprit lesion(OR:296.112, 95% CI: 13.673 to 6412.728; p < 0.001), and presence of more than one NCL (OR:22.447, 95% CI: 2.521 to 199.849; p= 0.005). Conclusion: The underlying clinical and angiographic characteristics can predict NCLs progression. Complex morphology of culprit lesion is the strongest independent predictor for progression of NCLs. | ||
| Keywords | ||
| STEMI; culprit; PCI; NCCL; Clinical predictors | ||
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