الفهرس | Only 14 pages are availabe for public view |
Abstract Angiographic no - reflow during primary percutaneous coronary intervention (PCI) in patients with ST - elevated acute myocardial infarction (AMI) may result in unfavorable outcomes. The aim of our study was to investigate the clinical factors and angiographic findings that predict /no-reflow phenomenon and the outcome of AMI patients with no-reflow. A total of 627 AMI patients, who underwent primary PCI within 24 hours of symptom onset were divided into a normal flow group (thrombolysis in myocardial infarction [TIMI] flow grade 3, n = 549) and a no-reflow group ({u2264}TIMI flow grade 2, n = 78), based on cine angiograms performed during PCI. A total of 78patients (12.4%) developed no-reflow phenomenon. Univariable and multivariable logistic regressions were used to identify predictors of no reflow after primary PCI. In univariable analysis, 10 variables (age, DM, chromic pretreatment with statins, killip class, TIMI risk score of STEMI, admission glucose, TLC, time to- treatment interval, baseline TIMI flow grade, direct stenting were identified as predictors of no - reflow phenomenon |