Type 4a myocardial infarction: Incidence, risk factors, and long‐term outcomes

Yang, Xiaoyu; Tamez, Hector; Lai, Christopher; Ho, Kalon K.L.; Cutlip, Donald E.

doi:10.1002/ccd.26688

Cited by 30 publications

(21 citation statements)

References 20 publications

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“…Not surprisingly, patients from that hospital had a greater prevalence of baseline risk factors for contrast-induced renal toxicity. Also, asymptomatic ≥5 times enzyme elevation, currently classified as “myocardial injury” according to the universal MI definition, has an adverse prognostic value on its own and it occurred at a higher rate when compared to other studies 8, 9…”

Section: Discussionmentioning

confidence: 99%

Complications after elective percutaneous coronary interventions: A comparison between public and private hospitals

Ferreira

Silva

Salis

2018

Indian Heart Journal

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Section: Discussionmentioning

confidence: 99%

Complications after elective percutaneous coronary interventions: A comparison between public and private hospitals

Ferreira

Silva

Salis

2018

Indian Heart Journal

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“…Peri-procedural myocardial infarction (PMI) is a procedurerelated ischemic cardiac event following coronary stenting (3). There is a growing body of evidence showing the association between PMI and worse outcomes after PCI over short-and long-term periods (4)(5)(6). Previous research proposed that the distal and side-branch thromboembolism, which resulted from lipid-rich plaques rupture, gave rise to the occurrence of PMI (7).…”

Section: Introductionmentioning

confidence: 99%

Association Between Lipoprotein(a) and Peri-procedural Myocardial Infarction in Patients With Diabetes Mellitus Who Underwent Percutaneous Coronary Intervention

et al. 2021

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BackgroundHigh lipoprotein(a) (Lp[a]) levels are associated with increased risks of cardiovascular events in Percutaneous Coronary Intervention (PCI) patients with diabetes mellitus (DM). Peri-procedural myocardial infarction (PMI) occurs commonly during the PCI, whereas the relationship between Lp(a) and PMI remains unclear. Our study aimed to evaluate the association between Lp(a) value and the incidence of PMI in a larger-scale diabetic cohort undergoing PCI throughout 2013.MethodsA total of 2,190 consecutive patients with DM were divided into two groups according to the median Lp(a) level of 175 mg/L: Low Lp(a) group (N = 1095) and high Lp(a) group (N = 1095). PMI was defined based on the 2018 universal definition of myocardial infarction.ResultsPatients with high Lp(a) levels exhibited higher rates of PMI compared to those with low Lp(a) levels (2.3% versus 0.8%, P = 0.006). The multivariable logistic analysis showed that PMI was independently predicted by Lp(a) as a dichotomous variable (OR 2.64, 95%CI 1.22–5.70) and as a continuous variable (OR 1.57, 95% CI 1.12–2.20). However, further investigation found that this association was only maintained in men, whose Lp(a) levels were significantly associated with the frequency of PMI, both as a dichotomous variable (OR 3.66, 95%CI 1.34–10.01) and as a continuous variable (OR 1.81, 95%CI 1.18–2.78). Lp(a) wasn’t a risk factor of PMI in women.ConclusionsHigh Lp(a) levels had forceful correlations with the increased frequency of PMI in male diabetic patients undergoing PCI. Lp(a) might act as a marker of risk stratification and a therapeutic target to reduce PCI-related ischemic events.

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“…2 Stents, die EA im IVUS und die TCFA (gemessen in der OCT) identifiziert. Hierbei zeigte sich die höchste prädiktive Aussagekraft in der Kombination beider Parameter (OR für EA im IVUS plus TCFA: 7,97 [2,[21][22][23][24][25][26][27][28]78]).…”

Section: Introductionunclassified

Interventionsassoziierte Myokardischämie: intrakoronare Bildgebung als prognostischer Marker

Anadol

Gori

2019

Aktuel Kardiol

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ZusammenfassungDie interventionsassoziierte Myokardischämie ist mit einem erhöhten Risiko für ein negatives Outcome verbunden. Der Nachweis bestimmter Pathologien, wie z. B. ein Fibroatherom mit zum Lumen hin dünner Endothelschicht (thin-cap fibrous atheroma) in der optischen Kohärenztomografie (OCT) oder im intravaskulären Ultraschall (IVUS) sind prädiktiv für eine periprozedurale Myokardischämie. Die Nutzung dieser Methoden und die korrekte Interpretation während der Indexprozedur und im weiteren klinischen Verlauf können für den Patienten eine bessere Risikostratifizierung und eine an ihn angepassten Therapie bedingen.

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Type 4a myocardial infarction: Incidence, risk factors, and long‐term outcomes

Abstract: Type 4a MI and myocardial injury were frequent, and were associated with more complicated index PCI and more frequent death or recurrent MI at one year as compared with the control group. © 2016 Wiley Periodicals, Inc.

Cited by 30 publications

References 20 publications

Complications after elective percutaneous coronary interventions: A comparison between public and private hospitals

Complications after elective percutaneous coronary interventions: A comparison between public and private hospitals

Association Between Lipoprotein(a) and Peri-procedural Myocardial Infarction in Patients With Diabetes Mellitus Who Underwent Percutaneous Coronary Intervention

Interventionsassoziierte Myokardischämie: intrakoronare Bildgebung als prognostischer Marker

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