Predictors of residual coronary artery disease after PPCI in diabetic patients with STEMI

Abstract

Objective: To describe the patients’ characteristics and risk factors of diabetic and non-diabetic patients presenting with ST-elevation myocardial infarction (STEMI) in relation to residual SYNTAX score after PPCI (primary PCI).

Materials and Methods

Prospective observational study using data from all comers in NHI with STEMI and underwent PPCI over one month.

Results

The present study consisted of 290 patients with ST-elevation myocardial infarction over one month period. About 50% of the patients with diabetes were more often female, with a greater prevalence of hypertension and dyslipidemia. In the diabetic group, the eGFR <60 ml/kg/min was associated with more residual CAD after PPCI and a higher residual SYNTAX score.

Conclusion

eGFR is correlated with the presence of MVD in diabetic patients and with a higher residual syntax, which reflects the severity of disease in diabetic patients with nephropathy. That observation was not existing in a diabetic with normal eGFR or in non-diabetics with normal or reduced eGFR.

Imprint

Bassem Zarif. Predictors of residual coronary artery disease after PPCI in diabetic patients with STEMI. Cardiometry; Issue 21; February 2021; p.85-89; DOI: 10.18137/cardiometry.2022.21.8589; Available from: https://www.cardiometry.net/issues/no21-february-2022/predictors-residual-coronary-artery