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- W3103411099 abstract "Acute coronary collateralization of an infarct-related arterial territory may be identified during angiography for ST elevation myocardial infarction (STEMI). Whether the presence or absence of these collaterals effects outcomes remains uncertain. We sought to determine the prognostic implications of coronary collaterals on outcomes in patients with STEMI. A search of EMBASE, MEDLINE and Cochrane Library was conducted to identify the association between coronary collaterals and mortality, left ventricular ejection fraction (LVEF), risk of repeat acute myocardial infarction (AMI) and repeat revascularisation. Patients with Rentrop grade 0 or 1 were defined as poor collaterals whilst those with Rentrop grade 2 or 3 were defined as those with robust collaterals. 19 studies with a total of 14,513 patients were identified and included in the analysis. Patients with robust collaterals had lower mortality (OR: 0.56, 95% CI: 0.48–0.65), both in-hospital (OR: 0.47, 95% CI: 0.35–0.63) and longer term (OR: 0.61, 95% CI: 0.49–0.76). Patients with robust collaterals also had a higher mean LVEF (SMD: 0.21, 95% CI: 0.08–0.34). There was no difference in the rates of AMI or repeat revascularisation. The presence of robust collaterals during STEMI is associated with reduced early and late mortality and improved left ventricular function. This has implications for prognostication and monitoring in patients presenting with STEMI." @default.
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- W3103411099 date "2020-01-01" @default.
- W3103411099 modified "2023-10-14" @default.
- W3103411099 title "873 Rapid Recruitment of Coronary Collaterals During ST Elevation Myocardial Infarction (STEMI): A Meta-Analysis of Over 14,000 Patients" @default.
- W3103411099 doi "https://doi.org/10.1016/j.hlc.2020.09.880" @default.
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