التداخل المتاخر عبر الجلد على الشرايين الاكليليلة المسدودة بشكل تام لدى مرضى الداء القلبي الاقفاري

الموضوعات

طب

الملخص

روابط وملفات

التعريف والنوع

رقم الوثيقة

08190257-0f22-4170-a5aa-22e2dea42fc0

رقم العقد

0

نوع الوسائط

Crawler

نوع المحتوى

الرسائل العلمية

صيغة المصدر

رسائل دكتوراة

نوع الملف

pdf text

أسماء الملفات

1958538_1.pdf

بيانات النشر

ترجمة العنوان

Late Percutaneous Coronary Intervention for Totally Occluded Coronary Arteries in Patients with Ischemic Heart Disease

ألقاب المؤلفين

[{"name_ar":"لمى محمد فؤاد قطمة","title_ar":"اعداد","title_en":"Preparation"},{"name_ar":"محمود ملحيس","title_ar":"اشراف","title_en":"Supervision"}]

اللغة

Arabic

المصدر والدورية

اسم المصدر

التداخل المتاخر عبر الجلد على الشرايين الاكليليلة المسدودة بشكل تام لدى مرضى الداء القلبي الاقفاري

المحتوى والصفحات

عدد الصفحات

212

ترجمة الملخص

Objective: The aim is to investigate results of late coronary angioplasties (PTCA) of totally occluded ischemic-related coronary artery, including successful rate and probability of Major Adverse Cardiac Events (MACEs).Methods: This study included consecutive 50 patients underwent late PTCA of a totally occluded ischemic-related coronary artery > 24 hours post acute coronary syndrome at the laboratory of the Aleppo University Heart Hospital between 2011 and 2013. The PTCA procedure was successful for 42 patients, of which 7 patients had MACEs during next six months, while the rest patients with failed PTCA had no MACEs. Baseline and 6-month follow-up clinical information were collected. The relationship of The PTCA procedure results and the available clinical factors was studied.Results: The successful PTCA procedures were associated with Acute myocardial infarction (AMI) as a direct reason for the procedure (92.3% vs. 54.5%; p=0.009), no multi-risk factor (92.9% vs. 72.7%; p=0.062), no past history of ischemic heart disease IHD (95% vs. 76.7%; p=0.087), occluded left anterior artery LAD (88% vs. 80%; p=0.351), proximal located lesion (88.9% vs. 78.3%; p=0.253(, and lower baseline left ventricular ejection fraction LVEF≤35% with probability of 100% vs. 75% for LVEF>55% (p=0.022). Compared to failed PTCA group, the MACEs group had higher AMI prevalence of 100% vs. 37.5%; p=0.019), lower multi-risk factor prevalence of 14.3% vs. 75% (p=0.084), lower IHD prevalence of 28.6% vs. 87.5% (p=0.035), higher occluded LAD probability of 85.7% vs. 37.5% (p=0.084), higher proximal located lesion probability of 71.4% vs 37.5% (p=0.214), and higher prevalence of baseline LVEF<55% (85.7% vs. 25%; p=0.032). Using multi-variate logistic regression, lower number of the upper-mentioned parameters (factors for old IHD) independently determined the successful PTCA (OR=0.31; CI%95: 0.11-0.85; p=0.022), while lower baseline LVEF independently determined the MACEs (OR=0.83; CI%95: 0.71-0.97; p=0.016).Conclusion: Successful the procedure of Late PTCA of totally occluded ischemic-related coronary arteries associated particularly with lower probabilities of the factors related to heart disease, while MACEs is associated particularly with lower baseline left ventricular ejection fraction.

كلمات الباحثين

MACEs, PTCA, Totally occluded coronary artery, التداخل الاكليلي المتاخر عبر الجلد, الحوادث الجانبية الكبرى, انسداد الشريان الاكليلي التام

إشراف وإعداد

الإشراف

محمود ملحيس

الإعداد

لمى محمد فؤاد قطمة

الاقتباسات الببليوغرافية