Role of Angiographic Perfusion Score in Prediction of Perfusion Success and Risk Stratification in patient with STEMI Treated with Primary PCI
El Sayed, A., El Rabat, K., Hamoda, M., Elbiomy, M. (2025). Role of Angiographic Perfusion Score in Prediction of Perfusion Success and Risk Stratification in patient with STEMI Treated with Primary PCI. EKB Journal Management System, 42(2), 158-166. doi: 10.21608/bmfj.2024.284774.2066
Amr Abd El Mordy El Sayed; khaled Emad El Rabat; Mohamed Ahmed Hamoda; Mohamed Kamal Elbiomy. "Role of Angiographic Perfusion Score in Prediction of Perfusion Success and Risk Stratification in patient with STEMI Treated with Primary PCI". EKB Journal Management System, 42, 2, 2025, 158-166. doi: 10.21608/bmfj.2024.284774.2066
El Sayed, A., El Rabat, K., Hamoda, M., Elbiomy, M. (2025). 'Role of Angiographic Perfusion Score in Prediction of Perfusion Success and Risk Stratification in patient with STEMI Treated with Primary PCI', EKB Journal Management System, 42(2), pp. 158-166. doi: 10.21608/bmfj.2024.284774.2066
El Sayed, A., El Rabat, K., Hamoda, M., Elbiomy, M. Role of Angiographic Perfusion Score in Prediction of Perfusion Success and Risk Stratification in patient with STEMI Treated with Primary PCI. EKB Journal Management System, 2025; 42(2): 158-166. doi: 10.21608/bmfj.2024.284774.2066

Role of Angiographic Perfusion Score in Prediction of Perfusion Success and Risk Stratification in patient with STEMI Treated with Primary PCI

Benha Medical Journal
Article 647, Volume 42, Issue 2, February 2025, Pages 158-166    PDF (616.26 K)
Document Type: Original Article
DOI: 10.21608/bmfj.2024.284774.2066
Authors
Amr Abd El Mordy El Sayed1; khaled Emad El Rabat2; Mohamed Ahmed Hamoda3; Mohamed Kamal Elbiomy* 4
1Lecturer of Cardiology, Faculty of Medicine, Benha University
2Professor of Cardiology, Faculty of Medicine, Benha University
3Assistant Professor of cardiovascular medicine Faculty of medicine – Benha University
4(M.B.B.Ch, Faculty of Medicine, Mansoura University 2013)
Abstract
Background: Coronary artery disease (CAD) and acute myocardial infarction are major causes of death and morbidity worldwide. This study aimed to assess short term clinical outcome in a patient of STEMI after primary PCI by using of APS. Methods: This prospective observational study included 100 patients with ST elevation myocardial infarction (STEMI) and underwent primary PCI within 12 h from symptom onset or between 12 and 24 h with evidence of continuing ischemia. Results: Death occurred in 7 (24.14%) patients in Failed Perfusion group, in 1 (1.49%) patient in Partial perfusion group and in 0 (0%) patients in Full perfusion. Re MI occurred in 5 (16.67%) patients in Failed Perfusion group, in 2 (2.94%) patients in Partial perfusion group and in 0 (0%) patients in Full perfusion. TVR occurred in 6 (20%) patients in Failed Perfusion group, in 2 (2.94%) patients in Partial perfusion group and in 1 (25%) patient in Full perfusion. The composite occurred in 9 (31.03%) patients in Failed Perfusion group, in 1 (1.49%) patient in Partial perfusion group and in 1 (25%) patient in Full perfusion. MACE (death, Re MI, TVR and composite) were significantly different among the three APS groups. mechanical complications were present in 4 (4%) patients. MACE was present in 35 (35%) patients. Regarding MACE, Death occurred in 8 (8%) patients, Re MI in 7 (7%) patients, TVR in 9 (9%) patients and Composite in 11 (11%) patients. Conclusion: The assessment of angiographic perfusion using the APS revealed significant associations with short-term clinical
Keywords
Angiographic Perfusion Score; Perfusion Success; Risk Stratification; STEMI; PCI
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