Acute angiographic analysis of non-ST-segment elevation acute myocardial infarction.
Most revascularization studies on acute myocardial infarction have included patients who have ST-segment elevation or new-onset left bundle branch block. However, the characteristics of patients who have non-ST-segment elevation acute myocardial infarction and who have undergone angiographic analysis of their infarct-related arteries have not been adequately described. This study suggests that these patients are likely to have had coronary bypass surgery (odds ratio 4.58, 95% confidence interval 1.83 to 11.5, p = 0.0012) and that circumflex artery occlusions are more likely to present as non-ST-segment elevation than as acute myocardial infarction with ST-segment elevation and/or left bundle branch block (odds ratio 2.91, 95% confidence interval 1.62 to 5.22, p = 0.0003).
Division of Cardiovascular Diseases, William Beaumont Hospital, Royal Oak, Michigan 48073, USA.
Amr E
AE
Abbas
Judith A
JA
Boura
Stacy D
SD
Brewington
Simon R
SR
Dixon
William W
WW
O'Neill
Cindy L
CL
Grines
D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D002037:Bundle-Branch Block / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D004562:Electrocardiography; D005260:Female; D006329:Heart Conduction System / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy; D015425:Myocardial Reperfusion; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D012086:Reoperation; D013997:Time Factors; D016896:Treatment Outcome; D014654:Vascular Patency / Q000502:physiology