Mechanical Complications in ST-Elevation Myocardial Infarction (STEMI) Based on Different Reperfusion Strategies

Contemporary trends of mechanical complications like papillary muscle rupture (PMR), ventricular septal defect/rupture (VSR), and free wall rupture (FWR) in ST-elevation m'yocardial infarction (STEMI), especially in the era of primary percutaneous coronary interventions (PPCI) has not been defi...

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Veröffentlicht in:The American journal of cardiology 2021-10, Vol.156, p.79-84
Hauptverfasser: Tripathi, Byomesh, Aggarwal, Vikas, Abbott, Jinnette Dawn, Kumbhani, Dharam J, Giri, Jay, Kalra, Ankur, Sardar, Partha, Chatterjee, Saurav
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container_title The American journal of cardiology
container_volume 156
creator Tripathi, Byomesh
Aggarwal, Vikas
Abbott, Jinnette Dawn
Kumbhani, Dharam J
Giri, Jay
Kalra, Ankur
Sardar, Partha
Chatterjee, Saurav
description Contemporary trends of mechanical complications like papillary muscle rupture (PMR), ventricular septal defect/rupture (VSR), and free wall rupture (FWR) in ST-elevation m'yocardial infarction (STEMI), especially in the era of primary percutaneous coronary interventions (PPCI) has not been definitively investigated. We utilized the National Inpatient Sample (NIS) database from years 2003 to 2017 using International Classification of Disease 9th and 10th revision (ICD-9 and ICD-10) codes to identify STEMI patients undergoing PPCI, fibrinolysis alone, and fibrinolysis with subsequent PCI. We identified those developing in-hospital PMR /VSD / FWR. We identified a total of 2,034,153 STEMI patients where 93.5% had PPCI, 3.2% had fibrinolysis alone, and 3.3% had fibrinolysis with subsequent PCI. Rates of all mechanical complications was low for all three different reperfusion strategies evaluated, with downward trends (p
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We utilized the National Inpatient Sample (NIS) database from years 2003 to 2017 using International Classification of Disease 9th and 10th revision (ICD-9 and ICD-10) codes to identify STEMI patients undergoing PPCI, fibrinolysis alone, and fibrinolysis with subsequent PCI. We identified those developing in-hospital PMR /VSD / FWR. We identified a total of 2,034,153 STEMI patients where 93.5% had PPCI, 3.2% had fibrinolysis alone, and 3.3% had fibrinolysis with subsequent PCI. Rates of all mechanical complications was low for all three different reperfusion strategies evaluated, with downward trends (p &lt;0.05) over time. No statistically significant difference in the rates of mechanical complication was noted among patients treated with different reperfusion strategies on multivariable logistic regression models. 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subjects Anemia
Cardiac arrhythmia
Cardiovascular disease
Chronic obstructive pulmonary disease
Codes
Complications
Coronary vessels
Family income
Fibrinolysis
Health care policy
Heart attacks
Hospitalization
Hypertension
Medicare
Mortality
Muscles
Myocardial infarction
Pandemics
Patients
Regression analysis
Regression models
Reperfusion
Rupture
Rupturing
Statistical analysis
Teaching hospitals
Trends
Ventricle
title Mechanical Complications in ST-Elevation Myocardial Infarction (STEMI) Based on Different Reperfusion Strategies
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