학술논문
Incidence and Significance of Spontaneous ST Segment Re-elevation After Reperfused Anterior Acute Myocardial Infarction ― Relationship With Infarct Size, Adverse Remodeling, and Events at 1 Year―
Document Type
Journal Article
Author
David Garcia-Dorado; Denis Angoulvant; Eric Bonnefoy-Cudraz; Gilles Rioufol; Gérald Vanzetto; Gérard Finet; Inesse Boussaha; Jean-Pierre Monassier; Léo Cuenin; Marc J. Claeys; Marc Metge; Mathieu Schaaf; Meyer Elbaz; Michel Ovize; Nathan Mewton; Nicolas Delarche; Olivier Morel; Pascal Motreff; Pierre Coste; Sophie Lamoureux; Thibault Perret; Thomas Bochaton
Source
Circulation Journal. 2018, 82(5):1379
Subject
Language
English
ISSN
1346-9843
1347-4820
1347-4820
Abstract
Methods and Results:A standard 12-lead electrocardiogram (ECG) was recorded in 662 patients with anterior STEMI referred for primary percutaneous coronary intervention (PPCI). ECGs were recorded 60–90 min after PPCI and at discharge. ST segment re-elevation was defined as a ≥0.1-mV increase in STMax between the post-PPCI and discharge ECGs. Infarct size (assessed as creatine kinase [CK] peak), echocardiography at baseline and follow-up, and all-cause death and heart failure events at 1 year were assessed. In all, 128 patients (19%) had ST segment re-elevation. There was no difference between patients with and without re-elevation in infarct size (CK peak [mean±SD] 4,231±2,656 vs. 3,993±2,819 IU/L; P=0.402), left ventricular (LV) ejection fraction (50.7±11.6% vs. 52.2±10.8%; P=0.186), LV adverse remodeling (20.1±38.9% vs. 18.3±30.9%; P=0.631), or all-cause mortality and heart failure events (22 [19.8%] vs. 106 [19.2%]; P=0.887) at 1 year.