Imaging diagnoses and outcome in patients presenting for primary angioplasty but no obstructive coronary artery disease
Heart, ISSN: 1468-201X, Vol: 102, Issue: 21, Page: 1728-1734
2016
- 4Citations
- 45Captures
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
Citation Benchmarking is provided by Scopus and SciVal and is different from the metrics context provided by PlumX Metrics.
Article Description
Objective A proportion of patients with suspected ST-elevation myocardial infarction (STEMI) presenting for primary percutaneous coronary intervention (PPCI) do not have obstructive coronary disease and other conditions may be responsible for their symptoms and ECG changes. In this study, we set out to determine the prevalence and aetiology of alternative diagnoses in a large PPCI cohort as determined with multimodality imaging and their outcome. Methods From 2009 to 2012, 5238 patients with suspected STEMI were referred for consideration of PPCI. Patients who underwent angiography but had no culprit artery for revascularisation and no previous history of coronary artery disease were included in the study. Troponin values, imaging findings and all-cause mortality were obtained from hospital and national databases. Results A total of 575 (13.0%) patients with a mean age of 58±15 years (69% men) fulfilled the inclusion criteria. A specific diagnosis based on imaging was made in 237 patients (41.2%) including cardiomyopathies (n=104, 18%), myopericarditis (n=48, 8.4%), myocardial infarction/other coronary abnormality (n=27, 4.9%) and severe valve disease (n=23, 4%). Pulmonary embolism and type A aortic dissection were identified in seven (1.2%) and four (0.7%) cases respectively. A total of 40 (7.0%) patients died over a mean follow-up of 42.6 months. Conclusions A variety of cardiac and non-cardiac conditions are prevalent in patients presenting with suspected STEMI but culprit-free angiogram, some of which may have adverse outcomes. Further imaging of such patients could thus be useful to help in appropriate management and follow-up.
Bibliographic Details
http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=84978943113&origin=inward; http://dx.doi.org/10.1136/heartjnl-2015-309039; http://www.ncbi.nlm.nih.gov/pubmed/27368743; https://heart.bmj.com/lookup/doi/10.1136/heartjnl-2015-309039; https://dx.doi.org/10.1136/heartjnl-2015-309039; https://heart.bmj.com/content/102/21/1728; https://heart.bmj.com/content/102/21/1728.long; https://heart.bmj.com/content/102/21/1728.abstract; https://heart.bmj.com/content/heartjnl/102/21/1728.full.pdf; http://heart.bmj.com/lookup/doi/10.1136/heartjnl-2015-309039; https://heart.bmj.com/content/102/21/1728.full.pdf; http://heart.bmj.com/content/102/21/1728.abstract; http://heart.bmj.com/content/102/21/1728.short; https://heart.bmj.com/content/102/21/1728.short; http://heart.bmj.com/content/102/21/1728.full; http://heart.bmj.com/content/102/21/1728.long; http://heart.bmj.com/content/102/21/1728; https://heart.bmj.com/content/102/21/1728.full
BMJ
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