World Journal of Emergency Medicine ›› 2025, Vol. 16 ›› Issue (4): 367-373.doi: 10.5847/wjem.j.1920-8642.2025.070
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Yugen Shi1, Nannan Li2, Xue Feng3, Qingshan Zhang3, Shuai Bao3, Zheng Zhao3, Li Sun3, Suhua Yan1, Ye Wang1(), Xiaolu Li3(
)
Received:
2024-07-06
Accepted:
2024-12-13
Online:
2025-07-18
Published:
2025-07-01
Contact:
Ye Wang,Xiaolu Li
E-mail:yeziwang812@163.com;lixiaolu007@hotmail.com
Yugen Shi, Nannan Li, Xue Feng, Qingshan Zhang, Shuai Bao, Zheng Zhao, Li Sun, Suhua Yan, Ye Wang, Xiaolu Li. Clinical outcomes of patients with acute myocardial infarction undergoing coronary revascularization via simplified treatment: a single-center retrospective study[J]. World Journal of Emergency Medicine, 2025, 16(4): 367-373.
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URL: http://wjem.com.cn/EN/10.5847/wjem.j.1920-8642.2025.070
Table 1.
Baseline characteristics of the AMI patients (n=159)
Characteristics | Data |
---|---|
Age, years, mean±SD | 65.7±12.6 |
Male, n (%) | 116 (73.0) |
Smoker, n (%) | 80 (50.3) |
Hypertension, n (%) | 82 (51.6) |
Diabetes, n (%) | 49 (30.8) |
Previous MI, n (%) | 13 (8.2) |
Previous PCI, n (%) | 13 (8.2) |
Previous CABG, n (%) | 0 (0) |
Previous stroke, n (%) | 16 (10.0) |
Previous autoimmune disease, n(%) | 2 (1.3) |
LV ejection fraction, %, mean±SD | 52.6±9.0 |
Hemoglobin, g/L, mean±SD | 134.8±19.7 |
Glycosylated hemoglobin, %, mean±SD Total cholesterol, mmol/L, mean±SD | 7.7±1.5 4.2±1.0 |
HDL, mmol/L, mean±SD | 1.0±0.3 |
LDL, mmol/L, mean±SD | 2.5±0.8 |
Creatinine, μmol/L, mean±SD | 72.0±20.5 |
eGFR, mL/min, mean±SD | 90.0±23.8 |
Clinical presentation, n (%) | |
STEMI | 135 (84.9) |
NSTEMI | 24 (15.1) |
Peak troponin I, ng/mL, mean±SD | 40.9±20.4 |
Killip classification, n (%) | |
I | 123 (77.4) |
II | 19 (11.9) |
III | 17 (10.7) |
Medication during hospitalization, n (%) | |
Aspirin | 151 (95.0) |
Ticagrelor | 110 (69.2) |
Clopidogrel | 49 (30.8) |
ACE inhibitor | 101 (63.5) |
ARB | 9 (5.7) |
Calcium-channel blocker | 10 (6.13) |
Nitrates | 140 (88.1) |
Statin | 152 (95.6) |
Table 2.
Procedural and lesion characteristics of the AMI patients (n=159)
Characteristics | Data, n (%) |
---|---|
Radial access | 148 (93.1) |
Vessels with disease | |
1 | 30 (18.9) |
2 | 36 (22.6) |
3 | 93 (58.5) |
Culprit vessel | |
LM | 1 (0.6) |
LAD | 75 (47.2) |
LCX | 21 (13.2) |
RCA | 62 (39.0) |
Characteristics of culprit vessel lesions | |
General lesion | 57 (35.8) |
Bifurcation lesion | 7 (4.4) |
Long lesion | 82 (51.6) |
Calcified lesion | 14 (8.8) |
Twisted lesion | 1 (0.6) |
High thrombosis | 17 (10.7) |
Lesion treatment | |
PTCA | 149 (93.8) |
Drug-coated balloon | 108 (67.9) |
Cutting balloon | 22 (20.3) |
Scoring balloon | 12 (11.1) |
Plain balloon | 41 (25.8) |
Intravascular thrombolysis | 5 (3.1) |
Thrombus suction | 5 (3.1) |
Residual stenosis of culprit vessel | |
>60% | 21 (13.2) |
30%-60% | 34 (21.4) |
<30% | 104 (65.4) |
Coronary dissection severity (NHLBI) | |
Type A | 31 (19.4) |
Type B | 12 (7.5) |
TIMI before intervention | |
0 | 138 (86.8) |
I | 3 (1.9) |
II | 7 (4.4) |
III | 11 (6.9) |
TIMI post intervention | |
0 | 1 (0.6) |
I | 1 (0.6) |
II | 20 (12.6) |
III | 137 (86.2) |
Table 4.
Subgroup analysis of different treatments
Events | Coronary intervention | Residual stenosis of culprit vessel | |||||||
---|---|---|---|---|---|---|---|---|---|
PTCA | Intravascular thrombolysis (n=5) | Thrombus suction (n=5) | ≥60% (n=21) | <60% (n=138) | P-value | ||||
DCB (n=108) | Plain balloon (n=41) | P-value | |||||||
MACE | 6 | 3 | 0.687 | 1 | 1 | 2 | 9 | 0.614 | |
CV death | 1 | 1 | 1 | 1 | 1 | 3 | |||
Non-fatal AMI | 4 | 1 | 0 | 0 | 1 | 4 | |||
TVR | 1 | 1 | 0 | 0 | 0 | 2 | |||
Second endpoint | 8 | 9 | 0.013 | 0 | 1 | 2 | 16 | 0.780 | |
Hospital admission for HF | 1 | 1 | 0 | 0 | 0 | 2 | |||
Hospital admission for UAP | 7 | 8 | 0 | 1 | 2 | 14 |
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