Login
Search
Search
0 Dates
2024
2023
2022
2021
2020
2019
2018
0 Events
CPC 2018
CPC 2019
Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
CPC 2020
CPC 2021
CPC 2022
CPC 2023
CPC 2024
0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
G. Aortic Disease, Peripheral Vascular Disease, Stroke
H. Interventional Cardiology and Cardiovascular Surgery
I. Hypertension
J. Preventive Cardiology
K. Cardiovascular Disease In Special Populations
L. Cardiovascular Pharmacology
M. Cardiovascular Nursing
N. E-Cardiology / Digital Health, Public Health, Health Economics, Research Methodology
O. Basic Science
P. Other
0 Themes
01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
37. Miscellanea
0 Resources
Abstract
Slides
Vídeo
Report
CLEAR FILTERS
Impact of acute culprit occlusion in patients presenting with non-ST segment elevation myocardial infarction
Session:
Sessão de Posters 51 - Enfarte agudo do miocárdio sem supra ST
Speaker:
Mafalda Griné
Congress:
CPC 2024
Topic:
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
Theme:
13. Acute Coronary Syndromes
Subtheme:
13.4 Acute Coronary Syndromes – Treatment
Session Type:
Cartazes
FP Number:
---
Authors:
Mafalda Griné; João Borges-Rosa; Gonçalo Terleira Batista; Tomás Carlos; Bernardo Resende; Ana Luísa Gomes Rocha; Manuel Oliveira-Santos; Lino Gonçalves
Abstract
<p style="text-align:start"><span style="font-size:medium"><span style="background-color:white"><span style="font-family:"Times New Roman",serif"><span style="color:#000000"><strong><span style="color:black">Introduction:</span></strong><span style="color:black"> There is acute coronary occlusion beyond the ST-segment elevation myocardial infarction (STEMI) criteria. Around 15-30% of patients presenting without significant ST-segment elevation have an occluded culprit in the coronary angiography. The clinical impact of these missed diagnoses remains unclear. We sought to evaluate the one-year outcomes of this subset of patients.</span></span></span></span></span></p> <p style="text-align:justify"><span style="font-size:medium"><span style="background-color:white"><span style="font-family:"Times New Roman",serif"><span style="color:#000000"><strong><span style="color:black">Methods:</span></strong> <span style="color:black">Retrospective analysis of consecutive patients admitted to our centre between January 2016 and November 2022 with a diagnosis of myocardial infarction. Those without follow-up data were excluded. </span><span style="color:black">Patients were divided into three cohorts according to baseline electrocardiographic and angiographic criteria: Cohort 1 (STEMI), Cohort 2 (non-ST segment elevation myocardial infarction (NSTEMI) without acute culprit occlusion) and Cohort 3 (NSTEMI with acute culprit occlusion). The primary endpoint was all­ cause mortality at one­ year after the index event.</span></span></span></span></span></p> <p style="text-align:justify"><span style="font-size:medium"><span style="background-color:white"><span style="font-family:"Times New Roman",serif"><span style="color:#000000"><strong><span style="color:black">Results: </span></strong><span style="color:black">A total of 555 patients were included and classified accordingly: Cohort 1 (n=317), Cohort 2 (n=200), and Cohort 3 (n=38). Mean age was 67.7 ± 13.4 years and 67.4% were male. At one-year, all-cause mortality occurred in 15.8% of patients in Cohort 1 versus 18.4% of patients in Cohort 3 (hazard ratio: 0.76; 95% CI: 0.36 - 1.59; p = 0.462) versus 5.6% in Cohort 2 (hazard ratio: 0.24; 95% CI: 0.10 - 0.59; p = 0.002). A trend that remained significant after multivariate adjustment</span></span></span></span></span><span style="font-size:medium"><span style="background-color:white"><span style="font-family:"Times New Roman",serif"><span style="color:#000000"><span style="color:black"> (hazard ratio: 0.28; 95% CI: 0.11 - 0.71; p = 0.007).</span></span></span></span></span></p> <p style="text-align:justify"><span style="font-size:medium"><span style="background-color:white"><span style="font-family:"Times New Roman",serif"><span style="color:#000000"><strong><span style="color:black">Conclusions:</span></strong><span style="color:black"> Patients with NSTEMI who have an occluded culprit have higher one-year all­-cause mortality than those who do not. These findings support the need for timely and accurate identification of patients with acute coronary occlusion.</span></span></span></span></span></p>
Slides
Our mission: To reduce the burden of cardiovascular disease
Visit our site
