The Incidence and Risk Factors of Acute Asymptomatic Brain Infarcts After Percutaneous Coronary Intervention in Patients with Acute Myocardial Infarction
Objective: This study aimed to evaluate the incidence and related factors of acute asymptomatic brain infarcts (aABI) following percutaneous coronary intervention (PCI) in patients with acute myocardial infarction (AMI) via the right radial approach. Patients and methods: Two hundred ten consecutive...
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| Format: | Article |
| Language: | English |
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Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM)
2014-06-01
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| Series: | International Journal of Gerontology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1873959814000313 |
| _version_ | 1819231197444702208 |
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| author | Ling-jie He Jian-wei Zhang Qing Yang Shu-jun Cao Shi-wei Yang Bin Nie Xiao-han Xu Yu-jie Zhou |
| author_facet | Ling-jie He Jian-wei Zhang Qing Yang Shu-jun Cao Shi-wei Yang Bin Nie Xiao-han Xu Yu-jie Zhou |
| author_sort | Ling-jie He |
| collection | DOAJ |
| description | Objective: This study aimed to evaluate the incidence and related factors of acute asymptomatic brain infarcts (aABI) following percutaneous coronary intervention (PCI) in patients with acute myocardial infarction (AMI) via the right radial approach.
Patients and methods: Two hundred ten consecutive patients with AMI were enrolled. Multiple factors were compared between patients with (n = 37) and without (n = 138) aABI in 175 patients who underwent PCI.
Results: Of 175 patients with AMI, 37 (21.14%) developed aABI as determined by diffusion-weighted magnetic resonance imaging (MRI). Incidence of hypertension, proportion of primary PCI (p-PCI), Killip > 1 on admission, duration of procedure, and the frequency of device insertion into the coronary artery significantly differed between the aABI and non-aABI groups. These significant factors were reevaluated using logistic regression. Proportion of p-PCI, duration of the procedure, and the frequency of device insertion into the coronary artery were indicated as independent factors related to the incidence of aABI and others did not.
Conclusion: Cranial MRI imaging following PCI revealed that 21.14% of the patients with AMI had aABI. The independent factors related to aABI following PCI were p-PCI, duration of the procedure, and the frequency of device insertion into the coronary artery. |
| first_indexed | 2024-12-23T11:41:08Z |
| format | Article |
| id | doaj.art-67afdad904e14557b535394c78d094c0 |
| institution | Directory Open Access Journal |
| issn | 1873-9598 |
| language | English |
| last_indexed | 2024-12-23T11:41:08Z |
| publishDate | 2014-06-01 |
| publisher | Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM) |
| record_format | Article |
| series | International Journal of Gerontology |
| spelling | doaj.art-67afdad904e14557b535394c78d094c02022-12-21T17:48:29ZengTaiwan Society of Geriatric Emergency and Critical Medicine (TSGECM)International Journal of Gerontology1873-95982014-06-0182707310.1016/j.ijge.2013.12.001The Incidence and Risk Factors of Acute Asymptomatic Brain Infarcts After Percutaneous Coronary Intervention in Patients with Acute Myocardial InfarctionLing-jie He0Jian-wei Zhang1Qing Yang2Shu-jun Cao3Shi-wei Yang4Bin Nie5Xiao-han Xu6Yu-jie Zhou7Department of Emergency, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, ChinaDepartment of Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing Institute of Heart Lung and Blood Vessel Disease, The Key Laboratory of Remodeling-related Cardiovascular Disease, Ministry of Education, Beijing 100050, ChinaDepartment of Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing Institute of Heart Lung and Blood Vessel Disease, The Key Laboratory of Remodeling-related Cardiovascular Disease, Ministry of Education, Beijing 100050, ChinaDepartment of Cardiology, Beijing Da Xing Hospital, Capital Medical University, Beijing 100050, ChinaDepartment of Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing Institute of Heart Lung and Blood Vessel Disease, The Key Laboratory of Remodeling-related Cardiovascular Disease, Ministry of Education, Beijing 100050, ChinaDepartment of Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing Institute of Heart Lung and Blood Vessel Disease, The Key Laboratory of Remodeling-related Cardiovascular Disease, Ministry of Education, Beijing 100050, ChinaDepartment of Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing Institute of Heart Lung and Blood Vessel Disease, The Key Laboratory of Remodeling-related Cardiovascular Disease, Ministry of Education, Beijing 100050, ChinaDepartment of Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing Institute of Heart Lung and Blood Vessel Disease, The Key Laboratory of Remodeling-related Cardiovascular Disease, Ministry of Education, Beijing 100050, ChinaObjective: This study aimed to evaluate the incidence and related factors of acute asymptomatic brain infarcts (aABI) following percutaneous coronary intervention (PCI) in patients with acute myocardial infarction (AMI) via the right radial approach. Patients and methods: Two hundred ten consecutive patients with AMI were enrolled. Multiple factors were compared between patients with (n = 37) and without (n = 138) aABI in 175 patients who underwent PCI. Results: Of 175 patients with AMI, 37 (21.14%) developed aABI as determined by diffusion-weighted magnetic resonance imaging (MRI). Incidence of hypertension, proportion of primary PCI (p-PCI), Killip > 1 on admission, duration of procedure, and the frequency of device insertion into the coronary artery significantly differed between the aABI and non-aABI groups. These significant factors were reevaluated using logistic regression. Proportion of p-PCI, duration of the procedure, and the frequency of device insertion into the coronary artery were indicated as independent factors related to the incidence of aABI and others did not. Conclusion: Cranial MRI imaging following PCI revealed that 21.14% of the patients with AMI had aABI. The independent factors related to aABI following PCI were p-PCI, duration of the procedure, and the frequency of device insertion into the coronary artery.http://www.sciencedirect.com/science/article/pii/S1873959814000313acute asymptomatic brain infarcts (aABI)magnetic resonance imaging (MRI)percutaneous coronary intervention (PCI) |
| spellingShingle | Ling-jie He Jian-wei Zhang Qing Yang Shu-jun Cao Shi-wei Yang Bin Nie Xiao-han Xu Yu-jie Zhou The Incidence and Risk Factors of Acute Asymptomatic Brain Infarcts After Percutaneous Coronary Intervention in Patients with Acute Myocardial Infarction International Journal of Gerontology acute asymptomatic brain infarcts (aABI) magnetic resonance imaging (MRI) percutaneous coronary intervention (PCI) |
| title | The Incidence and Risk Factors of Acute Asymptomatic Brain Infarcts After Percutaneous Coronary Intervention in Patients with Acute Myocardial Infarction |
| title_full | The Incidence and Risk Factors of Acute Asymptomatic Brain Infarcts After Percutaneous Coronary Intervention in Patients with Acute Myocardial Infarction |
| title_fullStr | The Incidence and Risk Factors of Acute Asymptomatic Brain Infarcts After Percutaneous Coronary Intervention in Patients with Acute Myocardial Infarction |
| title_full_unstemmed | The Incidence and Risk Factors of Acute Asymptomatic Brain Infarcts After Percutaneous Coronary Intervention in Patients with Acute Myocardial Infarction |
| title_short | The Incidence and Risk Factors of Acute Asymptomatic Brain Infarcts After Percutaneous Coronary Intervention in Patients with Acute Myocardial Infarction |
| title_sort | incidence and risk factors of acute asymptomatic brain infarcts after percutaneous coronary intervention in patients with acute myocardial infarction |
| topic | acute asymptomatic brain infarcts (aABI) magnetic resonance imaging (MRI) percutaneous coronary intervention (PCI) |
| url | http://www.sciencedirect.com/science/article/pii/S1873959814000313 |
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