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- W2368710164 abstract "Objective: To assess the no-reflow and its possible relationships with the SYNTAX(Synergy between percutaneous coronary intervention with Taxus and cardiac surgery) score(SXscore) and clinical characteristics in patients with ST-segment elevation myocardial infarction(STEMI) treated with primary percutaneous coronary intervention(PCI).Methods: In this study,397 patients with STEMI treated with PCI were analyzed retrospectively.The SXscore,thrombolysis in myocardial infarction(TIMI) flow grade score were determined in all patients.Patients were divided into two groups based upon the median SXscore.Angiographic no-reflow can be defined as a TIMI flow grade3.The association of SXscore obtained on diagnostic angiography during PCI with no reflow phenomenon after PCI was assessed by multivariate logistic regression.Results: The no reflow was found in 79 patients(19.9%) of 397 patients.The IRA more often had poor anterograde flow(TIMI grade 0 or 1) in patients with high SXscores.A multivariable logistic regression model revealed that variables strongly correlated with no-reflow were advanced age(≥55 years,odds ratio(OR) 2.46,95% confidence interval(CI) 1.72-3.41;P 0.001),administration of beta-blocker(OR 0.62,95%CI 0.41-0.92;P=0.021),Killip classes(4,OR 3.78,95% CI 2.14-6.48;P 0.001),time from pain to PCI(≥2h,OR 1.37,95% CI 1.02-1.79;P=0.036),and SXscore≥15.75(OR 1.16,95% CI 1.01-2.45;P 0.001).Conclusion: The SXscore obtained in the diagnostic phase of PCI can predict no-reflow after PCI in patients with STEMI." @default.
- W2368710164 created "2016-06-24" @default.
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- W2368710164 date "2013-01-01" @default.
- W2368710164 modified "2023-09-24" @default.
- W2368710164 title "SYNTAX score is associated with no reflow in patients with ST segment elevation myocardial infarction undergoing primary percutaneous coronary intervention" @default.
- W2368710164 hasPublicationYear "2013" @default.
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