Periprocedural temporary pacing in primary percutaneous coronary intervention for patients with acute inferior myocardial infarction

You Mi Hwang,1 Chul-Min Kim,2 Keon-Woong Moon2 1Department of Cardiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, 2Department of Internal Medicine, St Vincent’s Hospital, The Catholic University of Korea, Suwon, South KoreaObjective: High-degree atrioventricul...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Hwang YM, Kim CM, Moon KW
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	myocardial infarction complete atrioventricular block primary percutaneous coronary intervention temporary pacemaker Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/b227be2b0fe5486b841261ab581d2b56
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:b227be2b0fe5486b841261ab581d2b56
record_format	dspace
spelling	oai:doaj.org-article:b227be2b0fe5486b841261ab581d2b562021-12-02T03:50:17ZPeriprocedural temporary pacing in primary percutaneous coronary intervention for patients with acute inferior myocardial infarction1178-1998https://doaj.org/article/b227be2b0fe5486b841261ab581d2b562016-03-01T00:00:00Zhttps://www.dovepress.com/periprocedural-temporary-pacing-in-primary-percutaneous-coronary-inter-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998You Mi Hwang,1 Chul-Min Kim,2 Keon-Woong Moon2 1Department of Cardiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, 2Department of Internal Medicine, St Vincent’s Hospital, The Catholic University of Korea, Suwon, South KoreaObjective: High-degree atrioventricular block (AVB), including complete AVB in acute inferior ST-elevation myocardial infarction (STEMI), is not uncommon. However, there is no study evaluating the clinical differences between patients who have undergone temporary pacing (TP) and patients who have not. The present study was designed to investigate whether TP has any prognostic significance in inferior STEMI complicated by complete AVB.Methods: From January 2009 to December 2014, 295 consecutive patients diagnosed with inferior wall STEMI in a university hospital were reviewed. All of them underwent primary percutaneous coronary intervention (PCI). Among the 295 patients, there were 72 patients with complete AVB. The clinical characteristics, procedural data, and long-term major adverse cardiocerebrovascular events were compared in patients with and without TP.Results: Baseline clinical and procedural characteristics were similar between patients with and without TP. Patients with TP were more likely to present with cardiogenic shock; thus, additional interventions were attempted via a femoral approach, as patients received further treatment with intra-aortic balloon pumps and were subjected to additional cardiopulmonary resuscitation. Most cases of complete AVB were primarily caused by right coronary artery occlusion. After a median follow-up period of 344 (range, 105.5–641) days, major adverse cardiocerebrovascular events did not differ between the groups (P=0.528).Conclusion: We conclude that primary PCI without TP is acceptable in complete AVB-complicated acute inferior STEMI. To avoid delay in reperfusion, we suggest that primary PCI should be the first priority therapy rather than treating patients initially with TP.Keywords: myocardial infarction, complete atrioventricular block, primary percutaneous coronary intervention, temporary pacemaker Hwang YMKim CMMoon KWDove Medical Pressarticlemyocardial infarctioncomplete atrioventricular blockprimary percutaneous coronary interventiontemporary pacemakerGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 11, Pp 287-292 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	myocardial infarction complete atrioventricular block primary percutaneous coronary intervention temporary pacemaker Geriatrics RC952-954.6
spellingShingle	myocardial infarction complete atrioventricular block primary percutaneous coronary intervention temporary pacemaker Geriatrics RC952-954.6 Hwang YM Kim CM Moon KW Periprocedural temporary pacing in primary percutaneous coronary intervention for patients with acute inferior myocardial infarction
description	You Mi Hwang,1 Chul-Min Kim,2 Keon-Woong Moon2 1Department of Cardiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, 2Department of Internal Medicine, St Vincent’s Hospital, The Catholic University of Korea, Suwon, South KoreaObjective: High-degree atrioventricular block (AVB), including complete AVB in acute inferior ST-elevation myocardial infarction (STEMI), is not uncommon. However, there is no study evaluating the clinical differences between patients who have undergone temporary pacing (TP) and patients who have not. The present study was designed to investigate whether TP has any prognostic significance in inferior STEMI complicated by complete AVB.Methods: From January 2009 to December 2014, 295 consecutive patients diagnosed with inferior wall STEMI in a university hospital were reviewed. All of them underwent primary percutaneous coronary intervention (PCI). Among the 295 patients, there were 72 patients with complete AVB. The clinical characteristics, procedural data, and long-term major adverse cardiocerebrovascular events were compared in patients with and without TP.Results: Baseline clinical and procedural characteristics were similar between patients with and without TP. Patients with TP were more likely to present with cardiogenic shock; thus, additional interventions were attempted via a femoral approach, as patients received further treatment with intra-aortic balloon pumps and were subjected to additional cardiopulmonary resuscitation. Most cases of complete AVB were primarily caused by right coronary artery occlusion. After a median follow-up period of 344 (range, 105.5–641) days, major adverse cardiocerebrovascular events did not differ between the groups (P=0.528).Conclusion: We conclude that primary PCI without TP is acceptable in complete AVB-complicated acute inferior STEMI. To avoid delay in reperfusion, we suggest that primary PCI should be the first priority therapy rather than treating patients initially with TP.Keywords: myocardial infarction, complete atrioventricular block, primary percutaneous coronary intervention, temporary pacemaker
format	article
author	Hwang YM Kim CM Moon KW
author_facet	Hwang YM Kim CM Moon KW
author_sort	Hwang YM
title	Periprocedural temporary pacing in primary percutaneous coronary intervention for patients with acute inferior myocardial infarction
title_short	Periprocedural temporary pacing in primary percutaneous coronary intervention for patients with acute inferior myocardial infarction
title_full	Periprocedural temporary pacing in primary percutaneous coronary intervention for patients with acute inferior myocardial infarction
title_fullStr	Periprocedural temporary pacing in primary percutaneous coronary intervention for patients with acute inferior myocardial infarction
title_full_unstemmed	Periprocedural temporary pacing in primary percutaneous coronary intervention for patients with acute inferior myocardial infarction
title_sort	periprocedural temporary pacing in primary percutaneous coronary intervention for patients with acute inferior myocardial infarction
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/b227be2b0fe5486b841261ab581d2b56
work_keys_str_mv	AT hwangym periproceduraltemporarypacinginprimarypercutaneouscoronaryinterventionforpatientswithacuteinferiormyocardialinfarction AT kimcm periproceduraltemporarypacinginprimarypercutaneouscoronaryinterventionforpatientswithacuteinferiormyocardialinfarction AT moonkw periproceduraltemporarypacinginprimarypercutaneouscoronaryinterventionforpatientswithacuteinferiormyocardialinfarction
_version_	1718401612005769216

Periprocedural temporary pacing in primary percutaneous coronary intervention for patients with acute inferior myocardial infarction

Ejemplares similares