Elevated myocardial wall stress after percutaneous coronary intervention in acute ST elevation myocardial infraction is associated with increased mortality.

ABSTRACT:

Background

Despite early attempts to salvage myocardium-at-risk with percutaneous coronary intervention (PCI), changes in myocardial wall stress (MWS) leads to ventricular dilatation and dysfunction after acute ST-elevation myocardial infraction (STEMI). Whether this is transient or leads to long-term adverse outcomes major adverse cardiovascular events (MACE) is not known. We studied the association between MWS and MACE in patients after a successful PCI for acute STEMI.

Objectives

To study the MWS in percutaneously revascularized STEMI patients in relation to all-cause mortality and MACE.

Methods

We prospectively enrolled 142 patients who presented to our tertiary care hospital with acute STEMI requiring emergent PCI. In addition to the standard clinical biomarkers,

SUBMITTER: Kattel S 

PROVIDER: S-EPMC8410654 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature