Impact of PercuSurge GuardWire Device on Prevention and Reduction of Recovery Time From Complete Heart Block in Patients With Acute Inferior Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention

DOI Web Site 被引用文献1件 参考文献23件
  • Chiu Cheng-An
    Division of Cardiology, Tian-Sheng Memorial Hospital
  • Youssef Ali A.
    Cardiology Department, Suez Canal University Hospital
  • Wu Chiung-Jen
    Division of Cardiology, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University Collage of Medicine
  • Hsieh Yuan-Kai
    Division of Cardiology, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University Collage of Medicine
  • Yang Cheng-Hsu
    Division of Cardiology, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University Collage of Medicine
  • Chen Shyh-Ming
    Division of Cardiology, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University Collage of Medicine
  • Chen Chien-Jen
    Division of Cardiology, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University Collage of Medicine
  • Cheng Cheng-I
    Division of Cardiology, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University Collage of Medicine
  • Chen Yen-Hsun
    Division of Cardiology, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University Collage of Medicine
  • Yip Hon-Kan
    Division of Cardiology, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University Collage of Medicine

書誌事項

公開日
2007
DOI
  • 10.1536/ihj.48.35
公開者
一般社団法人 インターナショナル・ハート・ジャーナル刊行会

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説明

Second-degree heart block or complete heart block (CHB) is a relatively frequent complication of acute inferior wall myocardial infarction (AIWMI). This study investigated whether the PercuSurge device can prevent procedure-related CHB or can shorten CHB recovery time in patients with AIWMI undergoing primary percutaneous coronary intervention (PCI). Between May 2002 and April 2005, a PercuSurge device was utilized in 113 patients (study population, group 1) with AIWMI due to obstruction of the right coronary artery (RCA) with a reference lumen diameter (RLD) ≥ 3.5 mm. <br> The control subjects (group 2) consisted of 119 patients who experienced AIWMI due to RCA obstruction with a RLD ≥ 3.5 mm from May 2000 to April 2002. The combined incidence of new onset of CHB following the interventional procedure was significantly higher in group 2 than in group 1. Additionally, recovery time from CHB to first-degree heart block or normal sinus rhythm was remarkably longer in group 2 than in group 1. Furthermore, the duration of hospitalization in group 2 was significantly longer than in group 1. Multiple stepwise analyses demonstrated that the PercuSurge device was the only independent predictor of preventing new onset of CHB during the procedure. Additionally, this mechanical device along with final TIMI-3 flow and final myocardial blush grade ≥ 2 was independently associated with reducing recovery time from CHB. In conclusion, the PercuSurge device can prevent procedure-related CHB and shorten the recovery time for CHB in patients with AIWMI undergoing primary PCI. <br>

収録刊行物

  • International Heart Journal

    International Heart Journal 48 (1), 35-44, 2007

    一般社団法人 インターナショナル・ハート・ジャーナル刊行会

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