Author/Authors :
Sadrnia، Saeid نويسنده Assistant Professor, Arak University of Medical Sciences, Arak, Iran , , Pourmoghaddas، Masoud نويسنده MD, Professor of Interventional Cardiology, Chamran Heart Hospital, Isfahan University of Medical Sciences, Isfahan , , HADIZADEH، MAHMOUD نويسنده , , Maghamimehr، Asiyeh نويسنده Isfahan Azad University, Isfahan, Iran , , Esmaeeli، Masoumeh نويسنده Isfahan Cardiovascular Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran , , Amirpour، Afshin نويسنده Cardiac Rehabilitation Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran , , KHOSRAVI، ALIREZA نويسنده ,
Abstract :
BACKGROUND: Primary percutaneous coronary intervention (PCI) is the main treatment for
patients with ST-segment elevation myocardial infarction (STEMI). We investigated factors
affecting the major complications of this procedure.
METHODS: This case-control study assessed 200 patients receiving primary PCI for STEMI.
Effects of some factors including age, sex, coronary artery risk factors, left ventricular function,
thrombolysis in myocardial infarction (TIMI) flow, and number of involved vessels on major
adverse cardiac events (MACE) were studied.
RESULTS: Two thirds of patients were male but sex had no significant effect on MACE.
Similarly, age, hypertension, and hyperlipidemia did not significantly affect the incidence of
MACE. However, Killip class, left ventricular ejection fraction, diabetes, TIMI flow, and type of
involved vessels had significant relations with the incidence of MACE.
CONCLUSION: According to our findings, factors such as diabetes, left ventricular function, left
anterior descending artery involvement, and low TIMI flow are risk factors of MACE.
