Angiographic and clinical predictors of Non-culprit coronary Lesion Progression after Percutaneous coronary intervention in Patients with ST-Elevation Myocardial Infarction.
Masoud, M., Elawady, W., El-Menshawy, M., Shehata, I. (2024). Angiographic and clinical predictors of Non-culprit coronary Lesion Progression after Percutaneous coronary intervention in Patients with ST-Elevation Myocardial Infarction.. EKB Journal Management System, 30(1.1), 162-171. doi: 10.21608/zumj.2021.63229.2135
Masoud Mohamed Masoud; Waleed Salim Elawady; Mahmoud Diaa El-Menshawy; Islam Mohamed Shehata. "Angiographic and clinical predictors of Non-culprit coronary Lesion Progression after Percutaneous coronary intervention in Patients with ST-Elevation Myocardial Infarction.". EKB Journal Management System, 30, 1.1, 2024, 162-171. doi: 10.21608/zumj.2021.63229.2135
Masoud, M., Elawady, W., El-Menshawy, M., Shehata, I. (2024). 'Angiographic and clinical predictors of Non-culprit coronary Lesion Progression after Percutaneous coronary intervention in Patients with ST-Elevation Myocardial Infarction.', EKB Journal Management System, 30(1.1), pp. 162-171. doi: 10.21608/zumj.2021.63229.2135
Masoud, M., Elawady, W., El-Menshawy, M., Shehata, I. Angiographic and clinical predictors of Non-culprit coronary Lesion Progression after Percutaneous coronary intervention in Patients with ST-Elevation Myocardial Infarction.. EKB Journal Management System, 2024; 30(1.1): 162-171. doi: 10.21608/zumj.2021.63229.2135

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, Page 162-171  XML PDF (906.95 K)
Document Type: Original Article
DOI: 10.21608/zumj.2021.63229.2135
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Authors
Masoud Mohamed Masoud email 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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