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A benign course of sinus node artery occlusion after stenting at proximal right coronary artery.

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SUBMITTER: Yang HB

PROVIDER: S-EPMC8382385 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature

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A benign course of sinus node artery occlusion after stenting at proximal right coronary artery.

Yang Hong-Bo HB Guliya Yerkintay Y Song Ya-Nan YN Cao Jia-Tian JT Wang Qi-Bing QB Qian Ju-Ying JY Huang Zhe-Yong ZY Ge Jun-Bo JB

Chinese medical journal 20210408 16

PMID: 33840738

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Project description:ObjectivesPatients with right ventricular (RV) infarctions associated with inferior infarctions have higher rates of adverse events than isolated inferior infarctions. Right atrial volume index (RAVI) has recently been described as a predictor of clinical outcome in patients with chronic systolic heart failure and pulmonary hypertension. The aim of this study is to assess the ability of RAVI to predict the persistent RV dysfunction after acute inferior STEMI due to occlusion of proximal RCA. To the best of our knowledge, this is the first study to investigate the relation between RAVI and persistent RV dysfunction in such group of patients.Patients and methodsSixty-five consecutive patients with recent first acute inferior STEMI who underwent primary percutaneous coronary intervention (PPCI) were prospectively included in the study. Echocardiographic evaluation was performed at the time of discharge and at 3 months. All the patients underwent standard echocardiographic assessment using conventional 2D and tissue Doppler imaging (TDI).ResultsPatients were divided into two groups according to right ventricular function (RVF) 3 months after acute myocardial infarction (AMI). The normal RVF group included 41 (63%) patients and the impaired RVF group included 24 (37%) patients. RAVI was significantly higher in patients with impaired RVF (p=<0.001). RAVI was a predictor of persistently impaired RV function (odds ratio = 1.786, 95% confidence interval, 1.367-2.335, p value= <0.001) and (odds ratio = 1.829, 95% confidence interval, 1.358-2.462, p value= <0.001) in univariate and multivariable logistic regression analyses respectively. In receiving operator characteristics (ROC) curve analysis, RAVI with a cutoff value ≥ 30 ml/m2 had a 87.5% sensitivity, a 92.24% specificity area under Receiving operator characteristics (ROC) curve = 0.964 for predicting persistently impaired RVF.ConclusionIn patients with inferior STEMI with proximal RCA occlusion, RAVI is an independent predictor of persistently impaired RVF with a cut-off value ≥ 30 ml/m2.

Dataset Information

A benign course of sinus node artery occlusion after stenting at proximal right coronary artery.

Publications

A benign course of sinus node artery occlusion after stenting at proximal right coronary artery.

Similar Datasets

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