| Makale Türü |
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| Dergi Adı | Revista Da Associacao Medica Brasileira (Q4) | ||
| Dergi ISSN | 0104-4230 Wos Dergi Scopus Dergi | ||
| Dergi Tarandığı Indeksler | SCI-Expanded | ||
| Makale Dili | İngilizce | Basım Tarihi | 06-2022 |
| Kabul Tarihi | – | Yayınlanma Tarihi | 01-06-2022 |
| Cilt / Sayı / Sayfa | 68 / 6 / 802–807 | DOI | 10.1590/1806-9282.20220033 |
| Makale Linki | http://dx.doi.org/10.1590/1806-9282.20220033 | ||
| Özet |
| SUMMARY OBJECTIVE: A decrease in the left ventricular ejection fraction (≤40%) in the setting of ST-segment elevation myocardial infarction is a significant predictor of mortality in the young ST-segment elevation myocardial infarction population. In this study, we aimed to investigate the predictors of left ventricular ejection fraction reduction and evaluate the long-term mortality rates in young ST-segment elevation myocardial infarction patients with or without decreased left ventricular ejection fraction. METHODS: We enrolled retrospectively 411 consecutive ST-segment elevation myocardial infarction patients aged 45 years or below who underwent primary percutaneous coronary intervention. Young ST-segment elevation myocardial infarction patients were divided into two groups according to their left ventricular ejection fraction (≤40%, n=72 and >40%, n=339), which were compared with each other. RESULTS: Statin use, white blood cell count, C-reactive protein, peak creatine kinase-MB, prolonged ischemia time, left anterior descending artery-related infarction, proximally/ostial located lesion, and no-reflow were independently associated with low left ventricular ejection fraction. Additionally, long-term mortality was considerably higher in the left ventricular ejection fraction ≤40% group than those in the left ventricular ejection fraction>40% group (18.1% versus 2.4%; p<0.001). CONCLUSIONS: In young ST-segment elevation myocardial infarction patients, lesion properties (left anterior descending lesion, proximally located lesion), no-reflow, and prolonged ischemia time appeared to be important determinants for the left ventricular ejection … |
| Anahtar Kelimeler |
| STEMI | Mortality | Adult | Percutaneous coronary intervention |
| Dergi Adı | Revista da Associacao Medica Brasileira |
| Yayıncı | Associacao Medica Brasileira |
| Açık Erişim | Evet |
| ISSN | 0104-4230 |
| E-ISSN | 1806-9282 |
| CiteScore | 1,8 |
| SJR | 0,319 |
| SNIP | 0,367 |