چکیده مقاله
Introduction: Review of conducted research suggests some evidence on the relationship between TIMI flow grade related to myocardial perfusion and segment resolution rate STR , while this evidence is limited Thus, the current research was conducted and implemented to evaluate the relationship between TIMI grade and STR after PCI Methodology: by reviewing the medical record of 112 patients with diagnosis of acute coronary syndrome and under coronary angiography, the primary characteristics of the patients were extracted in this research Coronary flow was evaluated after PCI by 200 μg nitroglycerin bolus intracoronary prescribing TIMI value was determined based on the contrast opacification dynamics of coronary microcirculation ECG bands were evaluated in two stages of before PCI and 30 minutes after transferring of patient to intensive care unit ICU By aggregating the total values in increase in ST in all infarction leads and reduction in reciprocal leads, SSTD value was determined Relative SSTD value, which means percentage of reduction in SSTD SSTD% compared to its base value, was calculated Findings: strong and significant correlation was found between TIMI variations after PCI and SSTD correlation coefficient=0 340, P = 0 001 Additionally, a strong and significant correlation was found between TIMI variations after PCI and SSTD% correlation coefficient =0 442, P = 0 001 Based on the analysis of area under the ROC curve, evaluation of SSTD AUC = 0 699 and SSTD% AUC = 0 621 could predict improvement in TIMI flow in patients after PCI The mean SSTD in patients who finally died and living patients was 9 57 ± 9 88 and 17 40 ± 10 71, respectively, which it was significantly lower in patients who died P value = 0 002 Additionally, mean SSTD% in patients who died and living patients was 37 23 ± 26 29 and 57 10 ± 17 97, respectively, which it was significantly lower in patients who died P = 0 001 According to the analysis of area under ROC curve, evaluation of SSTD AUC = 0 667 and SSTD% AUC = 0 873 could predict the occurrence of mortality in patients after PCI Conclusion: measuring STR can predict TIMI grade variations strongly after performing the PCI process In addition, determining STR has great value in predicting the mortality after the mentioned procedure
کلیدواژهها
نویسندگان
Reza Faramrza Zadeh
Assistant Professor, Department Of Cardiology, Faculty of Medicine, Urmia University of Medical Sciences, Urmia, Iran
Venous Shahabi Rabori
Assistant Professor, Department Of Cardiology, Faculty of Medicine, Urmia University of Medical Sciences, Urmia, Iran
شیوه ارجاع
Faramrza Zadeh, Reza and Shahabi Rabori, Venous,1400,Determination of the relationship between TIMI myocardial perfusion grade and ST resolution in evaluating the coronary reperfusion after primary PCI,Seventh International Conference on Health, Treatment and Health Promotion
ارائهشده در
مجموعه مقالات هفتمین کنفرانس بین المللی بهداشت،درمان و ارتقای سلامت30 مهر 1400