Primary percutaneous coronary intervention ameliorates complete atrioventricular block complicating acute inferior myocardial infarction

Su Nam Lee, You-Mi Hwang, Gee-Hee Kim, Ji-Hoon Kim, Ki-Dong Yoo, Chul-Min Kim, Keon-Woong MoonDepartment of Internal Medicine, St Vincent’s Hospital, The Catholic University of Korea, Suwon, South KoreaObjective: Complete atrioventricular block (CAVB) in acute inferior ST-segment...

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Autores principales:	Lee SN, Hwang YM, Kim GH, Kim JH, Yoo KD, Kim CM, Moon KW
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	myocardial infarction complete atrioventricular block primary percutaneous coronary intervention Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/3c8baa5ece0945dd9b4472aaad276319
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spelling	oai:doaj.org-article:3c8baa5ece0945dd9b4472aaad2763192021-12-02T02:29:25ZPrimary percutaneous coronary intervention ameliorates complete atrioventricular block complicating acute inferior myocardial infarction1178-1998https://doaj.org/article/3c8baa5ece0945dd9b4472aaad2763192014-11-01T00:00:00Zhttps://www.dovepress.com/primary-percutaneous-coronary-intervention-ameliorates-complete-atriov-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Su Nam Lee, You-Mi Hwang, Gee-Hee Kim, Ji-Hoon Kim, Ki-Dong Yoo, Chul-Min Kim, Keon-Woong MoonDepartment of Internal Medicine, St Vincent’s Hospital, The Catholic University of Korea, Suwon, South KoreaObjective: Complete atrioventricular block (CAVB) in acute inferior ST-segment elevation myocardial infarction (STEMI) is associated with poor clinical outcomes after noninvasive treatment. This study was designed to determine the effect of primary percutaneous coronary intervention (PCI) in patients with CAVB complicating acute inferior STEMI, at a single center.Methods: We enrolled 138 consecutive patients diagnosed with STEMI involving the inferior wall; of these, 27 patients had CAVB. All patients received primary PCI. The clinical characteristics, procedural data, and clinical outcomes were compared in patients with versus without CAVB. Results: Baseline clinical characteristics were similar between patients with and without CAVB. Patients with CAVB were more likely to present with cardiogenic shock, and CAVB was caused primarily by right coronary artery occlusion. Door-to-balloon time was similar between those two groups. After primary PCI, CAVB was reversed in all patients. The peak creatinine phosphokinase level, left ventricular ejection fraction and in-hospital mortality rate were similar between the two groups. After a median follow up of 318 days, major adverse cardiac events did not differ between the groups (8.1% in patients without CAVB; 11.1% in patients with CAVB) (P=0.702).Conclusion: We conclude that primary PCI can ameliorate CAVB-complicated acute inferior STEMI, with an acceptable rate of major adverse cardiac events, and suggest that primary PCI should be the preferred reperfusion therapy in patients with CAVB complicating acute inferior myocardial infarction. Keywords: major adverse cardiac events, PCI-capable hospitalLee SNHwang YMKim GHKim JHYoo KDKim CMMoon KWDove Medical Pressarticlemyocardial infarctioncomplete atrioventricular blockprimary percutaneous coronary interventionGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 9, Pp 2027-2031 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	myocardial infarction complete atrioventricular block primary percutaneous coronary intervention Geriatrics RC952-954.6
spellingShingle	myocardial infarction complete atrioventricular block primary percutaneous coronary intervention Geriatrics RC952-954.6 Lee SN Hwang YM Kim GH Kim JH Yoo KD Kim CM Moon KW Primary percutaneous coronary intervention ameliorates complete atrioventricular block complicating acute inferior myocardial infarction
description	Su Nam Lee, You-Mi Hwang, Gee-Hee Kim, Ji-Hoon Kim, Ki-Dong Yoo, Chul-Min Kim, Keon-Woong MoonDepartment of Internal Medicine, St Vincent’s Hospital, The Catholic University of Korea, Suwon, South KoreaObjective: Complete atrioventricular block (CAVB) in acute inferior ST-segment elevation myocardial infarction (STEMI) is associated with poor clinical outcomes after noninvasive treatment. This study was designed to determine the effect of primary percutaneous coronary intervention (PCI) in patients with CAVB complicating acute inferior STEMI, at a single center.Methods: We enrolled 138 consecutive patients diagnosed with STEMI involving the inferior wall; of these, 27 patients had CAVB. All patients received primary PCI. The clinical characteristics, procedural data, and clinical outcomes were compared in patients with versus without CAVB. Results: Baseline clinical characteristics were similar between patients with and without CAVB. Patients with CAVB were more likely to present with cardiogenic shock, and CAVB was caused primarily by right coronary artery occlusion. Door-to-balloon time was similar between those two groups. After primary PCI, CAVB was reversed in all patients. The peak creatinine phosphokinase level, left ventricular ejection fraction and in-hospital mortality rate were similar between the two groups. After a median follow up of 318 days, major adverse cardiac events did not differ between the groups (8.1% in patients without CAVB; 11.1% in patients with CAVB) (P=0.702).Conclusion: We conclude that primary PCI can ameliorate CAVB-complicated acute inferior STEMI, with an acceptable rate of major adverse cardiac events, and suggest that primary PCI should be the preferred reperfusion therapy in patients with CAVB complicating acute inferior myocardial infarction. Keywords: major adverse cardiac events, PCI-capable hospital
format	article
author	Lee SN Hwang YM Kim GH Kim JH Yoo KD Kim CM Moon KW
author_facet	Lee SN Hwang YM Kim GH Kim JH Yoo KD Kim CM Moon KW
author_sort	Lee SN
title	Primary percutaneous coronary intervention ameliorates complete atrioventricular block complicating acute inferior myocardial infarction
title_short	Primary percutaneous coronary intervention ameliorates complete atrioventricular block complicating acute inferior myocardial infarction
title_full	Primary percutaneous coronary intervention ameliorates complete atrioventricular block complicating acute inferior myocardial infarction
title_fullStr	Primary percutaneous coronary intervention ameliorates complete atrioventricular block complicating acute inferior myocardial infarction
title_full_unstemmed	Primary percutaneous coronary intervention ameliorates complete atrioventricular block complicating acute inferior myocardial infarction
title_sort	primary percutaneous coronary intervention ameliorates complete atrioventricular block complicating acute inferior myocardial infarction
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/3c8baa5ece0945dd9b4472aaad276319
work_keys_str_mv	AT leesn primarypercutaneouscoronaryinterventionamelioratescompleteatrioventricularblockcomplicatingacuteinferiormyocardialinfarction AT hwangym primarypercutaneouscoronaryinterventionamelioratescompleteatrioventricularblockcomplicatingacuteinferiormyocardialinfarction AT kimgh primarypercutaneouscoronaryinterventionamelioratescompleteatrioventricularblockcomplicatingacuteinferiormyocardialinfarction AT kimjh primarypercutaneouscoronaryinterventionamelioratescompleteatrioventricularblockcomplicatingacuteinferiormyocardialinfarction AT yookd primarypercutaneouscoronaryinterventionamelioratescompleteatrioventricularblockcomplicatingacuteinferiormyocardialinfarction AT kimcm primarypercutaneouscoronaryinterventionamelioratescompleteatrioventricularblockcomplicatingacuteinferiormyocardialinfarction AT moonkw primarypercutaneouscoronaryinterventionamelioratescompleteatrioventricularblockcomplicatingacuteinferiormyocardialinfarction
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Primary percutaneous coronary intervention ameliorates complete atrioventricular block complicating acute inferior myocardial infarction

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