Corrected thrombolysis in myocardial infarction frame count and ejection fraction in patients undergoing primary percutaneous coronary intervention for myocardial infarction

<div><p class="abstract"><strong>BACKGROUND:</strong> This study aimed to assess the associations between corrected thrombolysis in myocardial infarction frame count (CTFC) of the infarct-related artery (IRA) and ejection fraction (EF) after three-six months in pati...

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Main Authors: Hossein Vakili, Roxana Sadeghi, Mahdiye Tabkhi, Morteza Safi
Format: Article
Language:English
Published: Vesnu Publications 2013-03-01
Series:ARYA Atherosclerosis
Online Access:http://arya.mui.ac.ir/index.php/arya/article/view/502
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author Hossein Vakili
Roxana Sadeghi
Mahdiye Tabkhi
Morteza Safi
author_facet Hossein Vakili
Roxana Sadeghi
Mahdiye Tabkhi
Morteza Safi
author_sort Hossein Vakili
collection DOAJ
description <div><p class="abstract"><strong>BACKGROUND:</strong> This study aimed to assess the associations between corrected thrombolysis in myocardial infarction frame count (CTFC) of the infarct-related artery (IRA) and ejection fraction (EF) after three-six months in patients who underwent primary percutaneous coronary intervention (PPCI) for ST segment elevation myocardial infarction (STEMI).</p> <p class="abstract"><strong>METHODS:</strong> CTFC was determined by a digital system for 78 patients. EF was measured through Simpson&rsquo;s method upon discharge and three-six months later. The subjects were divided into two groups of CTFC &le; 20 (n = 54) and CTFC &gt; 20 (n = 24). Association between CTFC and EF were then specified.</p> <p class="abstract"><strong>RESULTS:</strong><strong> </strong>CTFC &le; 20 and CTFC &gt; 20 were present in 69.2% and 30.8% of the patients, respectively. There was no significant difference between the two groups regarding baseline characteristics. EF at the time of discharge was 42.1% &plusmn; 10.2% and 43.5% &plusmn; 11.4% in groups with CTFC &le; 20 and &gt; 20, respectively. There was no significant association between EF at discharge and CTFC (P = 0.611). After three months, EF changed to 49.6% &plusmn; 8.7% and 41.6 &plusmn; 12.4% in the groups with CTFC &le; 20 and CTFC &gt; 20, respectively. Three months after PPCI, EF and CTFC had a significant relation (P = 0.007). Cumulative number and percentage of shock and death were 3 (3.8%) and 2 (2.6%), respectively.</p> <p class="abstract"><strong>CONCLUSION:</strong> Lower CTFC of the infarct-related artery in patients undergoing PPCI for STEMI was associated with higher left ventricular ejection fraction after three months.</p> <p class="abstract">&nbsp;</p> <p class="abstract"><strong>Keywords:</strong> Corrected Thrombolysis in Myocardial Infarction Frame Count, Ejection Fraction, Percutaneous Coronary Intervention, Myocardial Infarction</p></div>
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spelling doaj.art-da3a96d7a97f47fc90470a3820fcf59c2022-12-22T03:15:07ZengVesnu PublicationsARYA Atherosclerosis1735-39552251-66382013-03-0192134139389Corrected thrombolysis in myocardial infarction frame count and ejection fraction in patients undergoing primary percutaneous coronary intervention for myocardial infarctionHossein Vakili0Roxana Sadeghi1Mahdiye Tabkhi2Morteza Safi3Associate Professor, Cardiovascular Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IranAssistant Professor, Cardiovascular Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IranGeneral Cardiologist, Cardiovascular Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IranAssociate Professor, Department of Cardiology, Cardiovascular Research Center, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran<div><p class="abstract"><strong>BACKGROUND:</strong> This study aimed to assess the associations between corrected thrombolysis in myocardial infarction frame count (CTFC) of the infarct-related artery (IRA) and ejection fraction (EF) after three-six months in patients who underwent primary percutaneous coronary intervention (PPCI) for ST segment elevation myocardial infarction (STEMI).</p> <p class="abstract"><strong>METHODS:</strong> CTFC was determined by a digital system for 78 patients. EF was measured through Simpson&rsquo;s method upon discharge and three-six months later. The subjects were divided into two groups of CTFC &le; 20 (n = 54) and CTFC &gt; 20 (n = 24). Association between CTFC and EF were then specified.</p> <p class="abstract"><strong>RESULTS:</strong><strong> </strong>CTFC &le; 20 and CTFC &gt; 20 were present in 69.2% and 30.8% of the patients, respectively. There was no significant difference between the two groups regarding baseline characteristics. EF at the time of discharge was 42.1% &plusmn; 10.2% and 43.5% &plusmn; 11.4% in groups with CTFC &le; 20 and &gt; 20, respectively. There was no significant association between EF at discharge and CTFC (P = 0.611). After three months, EF changed to 49.6% &plusmn; 8.7% and 41.6 &plusmn; 12.4% in the groups with CTFC &le; 20 and CTFC &gt; 20, respectively. Three months after PPCI, EF and CTFC had a significant relation (P = 0.007). Cumulative number and percentage of shock and death were 3 (3.8%) and 2 (2.6%), respectively.</p> <p class="abstract"><strong>CONCLUSION:</strong> Lower CTFC of the infarct-related artery in patients undergoing PPCI for STEMI was associated with higher left ventricular ejection fraction after three months.</p> <p class="abstract">&nbsp;</p> <p class="abstract"><strong>Keywords:</strong> Corrected Thrombolysis in Myocardial Infarction Frame Count, Ejection Fraction, Percutaneous Coronary Intervention, Myocardial Infarction</p></div>http://arya.mui.ac.ir/index.php/arya/article/view/502
spellingShingle Hossein Vakili
Roxana Sadeghi
Mahdiye Tabkhi
Morteza Safi
Corrected thrombolysis in myocardial infarction frame count and ejection fraction in patients undergoing primary percutaneous coronary intervention for myocardial infarction
ARYA Atherosclerosis
title Corrected thrombolysis in myocardial infarction frame count and ejection fraction in patients undergoing primary percutaneous coronary intervention for myocardial infarction
title_full Corrected thrombolysis in myocardial infarction frame count and ejection fraction in patients undergoing primary percutaneous coronary intervention for myocardial infarction
title_fullStr Corrected thrombolysis in myocardial infarction frame count and ejection fraction in patients undergoing primary percutaneous coronary intervention for myocardial infarction
title_full_unstemmed Corrected thrombolysis in myocardial infarction frame count and ejection fraction in patients undergoing primary percutaneous coronary intervention for myocardial infarction
title_short Corrected thrombolysis in myocardial infarction frame count and ejection fraction in patients undergoing primary percutaneous coronary intervention for myocardial infarction
title_sort corrected thrombolysis in myocardial infarction frame count and ejection fraction in patients undergoing primary percutaneous coronary intervention for myocardial infarction
url http://arya.mui.ac.ir/index.php/arya/article/view/502
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