Primary Percutaneous Coronary Interventions Among Acute STEMI Cases: Predictors for No Re-Flow
College of Medicine, University of Babylon, Babylon, Iraq
College of Medicine, University of Babylon, Babylon, Iraq
College of Medicine, University of Babylon, Babylon, Iraq
Ass. Prof., College of Pharmacy, University of Babylon, Babylon, Iraq.
Abstract
Background: no reflow has been recognized as a serious primary percutaneous coronary intervention-associated complication, its incidence is related with poor clinical consequences. The goal of the present research is to evaluate the angiographic and clinical determinants of no-reflow. Methods: The clinical and angiographic characteristics of cases of primary percutaneous coronary intervention for acute ST-segment elevation myocardial infarction at the Shaheedul-Mihrab center between January 2015 and September 2016, were retrospectively evaluated. Results: There were 11.5% no-reflow cases. While diabetes, smoking history, sex category, and infarct location did not affect the probability of no-reflow, a history of hypertension and older age did. A higher syntactic score, a greater thrombus burden, and a low primary TIMI flow were all corelated with no re-flow.
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