Mortality Outcomes of Single-staged versus Multi-staged Complete Coronary Revascularization in Multivessel Non-ST Elevation Myocardial Infarction Patients
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Le résumé fourni par la source
Aim: The aim of this study was to compare the short-term and long-term mortality results of single-stage percutaneous coronary intervention (SS-PCI) and multi-stage percutaneous coronary intervention (MS-PCI) strategies in patients diagnosed with non-ST segment elevation myocardial infarction (NSTEMI) with multivessel disease. Material and Methods: A total of 298 consecutive patients diagnosed with multivessel NSTEMI (71 (23.8%) patients in the SS-PCI group and 227 (76.2%) patients in the MS-PCI group) were included in this study. Data regarding mortality were obtained from the health information system of our institute and national health registry. Results: Although in-hospital mortality rates were found to be significantly higher in univariate analysis in the SS-PCI group compared to the MS-PCI group (14.1% (n=10) vs 4.0% (n=9); p=0.005), it was not independently associated with total mortality in multiple model. Among the parameters predicted mortality determinants, low hemoglobin (odds ratio (OR)=0.485, 95% confidence interval (CI)=0.332-0.708; p=0.002), No-reflow occurrence (OR=6.194, 95% CI=1.310-29.300, p=0.021), not using post dilatation (OR=0.287, 95% CI=0.085-0.970, p=0.045) were independently associated with total mortality. Conclusion: There was no statistical difference in overall mortality between the two study groups in multivessel NSTEMI patients who underwent complete coronary revascularization with the SS-PCI and MS-PCI strategy, while low hemoglobin, No-reflow phenomenon, and not using post-dilatation were found as independent predictors of mortality.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Mortality Outcomes of Single-staged versus Multi-staged Complete Coronary Revascularization in Multivessel Non-ST Elevation Myocardial Infarction Patients Çok Damarlı ST Yükselmesiz Miyokard İnfarktüsü Hastalarında Tek Aşamalı ve Çok Aşamalı Koroner Revaskülarizasyonun Mortalite Sonuçları
- Date Crossref
- 30/08/2021
- Éditeur
- Duzce Medical Journal
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Adana Numune Eğitim ve Araştırma Hastanesi pays non établi dans la noticeÉtablissement de santé
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Medline (United States) pays non établi dans la noticeEntreprise
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Rize Devlet Hastanesi pays non établi dans la noticeÉtablissement de santé
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Düzce Atatürk Devlet Hastanesi pays non établi dans la noticeÉtablissement de santé
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Istanbul Aydın University pays non établi dans la noticeUniversité ou école supérieure
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Sivas State Hospital pays non établi dans la noticeÉtablissement de santé
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ADANA ŞEHİR HASTANESİ pays non établi dans la noticeInstitution
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Özel Medline Adana Hastanesi pays non établi dans la noticeInstitution
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AĞRI DEVLET HASTANESİ pays non établi dans la noticeInstitution
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Istanbul Aydin University Medical Park Florya Hospital pays non établi dans la noticeUniversité ou école supérieure
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ADANA KOZAN DEVLET HASTANESİ pays non établi dans la noticeInstitution
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Cardiology Clinic pays non établi dans la noticeÉtablissement de santé
Adana Numune Eğitim ve Araştırma Hastanesi, Medline (United States) et Rize Devlet Hastanesi, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.