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Impact of diagnosti...
Impact of diagnostic ECG-to-wire delay in STEMI patients treated with primary PCI : A DANAMI-3 substudy
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- Nepper-Christensen, Lars (författare)
- Copenhagen University Hospital
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- Lønborg, Jacob (författare)
- Copenhagen University Hospital
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- Høfsten, Dan Eik (författare)
- Copenhagen University Hospital
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- Ahtarovski, Kiril Aleksov (författare)
- Copenhagen University Hospital
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- Kyhl, Kasper (författare)
- Copenhagen University Hospital
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- Göransson, Christoffer (författare)
- Copenhagen University Hospital
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- Køber, Lars (författare)
- Copenhagen University Hospital
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- Helqvist, Steffen (författare)
- Copenhagen University Hospital
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- Pedersen, Frants (författare)
- Copenhagen University Hospital
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- Kelbæk, Henning (författare)
- Zealand University Hospital
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- Vejlstrup, Niels (författare)
- Copenhagen University Hospital
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- Holmvang, Lene (författare)
- Copenhagen University Hospital
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- Engstrøm, Thomas (författare)
- Lund University,Lunds universitet,Kardiologi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Cardiology,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Copenhagen University Hospital
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(creator_code:org_t)
- 2018
- 2018
- Engelska 8 s.
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Ingår i: EuroIntervention. - 1774-024X. ; 14:6, s. 700-707
- Relaterad länk:
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http://dx.doi.org/10... (free)
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https://lup.lub.lu.s...
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https://doi.org/10.4...
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Abstract
Ämnesord
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- Aims: We aimed to evaluate the impact of delay from diagnostic pre-hospital electrocardiogram (ECG) to wiring of the infarct-related vessel (ECG-to-wire) >120 minutes on cardiovascular magnetic resonance (CMR) markers of reperfusion success and clinical outcome in patients with ST-segment elevation myocardial infarction (STEMI). Methods and results: We included 1,492 patients in the analyses of clinical outcome. CMR was performed in 748 patients to evaluate infarct size and myocardial salvage. In total, 304 patients (20%) had ECG-to-wire >120 minutes, which was associated with larger acute infarct size (18% [interquartile range (IQR), 10-28] vs. 15% [8-24]; p=0.022) and smaller myocardial salvage (0.42 [IQR 0.28-0.57] vs. 0.50 [IQR 0.34-0.70]; p=0.002). However, 33% of the patients with ECG-to-wire >120 minutes still had a substantial myocardial salvage ≥0.50. In a multivariable analysis, ECG-to-wire >120 minutes was associated with an increased risk of all-cause mortality and heart failure (hazard ratio 1.61, 95% confidence interval [CI] 1.14-2.26, p=0.007). Conclusions: ECG-to-wire >120 minutes was associated with larger infarct size, smaller myocardial salvage and a poorer clinical outcome in STEMI patients transferred for primary percutaneous coronary intervention. However, myocardial salvage was still substantial in one third of patients treated beyond 120 minutes of delay.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- Clinical research
- MRI
- Myocardial infarction
- STEMI
Publikations- och innehållstyp
- art (ämneskategori)
- ref (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Nepper-Christens ...
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Lønborg, Jacob
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Høfsten, Dan Eik
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Ahtarovski, Kiri ...
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Kyhl, Kasper
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Göransson, Chris ...
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visa fler...
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Køber, Lars
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Helqvist, Steffe ...
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Pedersen, Frants
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Kelbæk, Henning
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Vejlstrup, Niels
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Holmvang, Lene
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Engstrøm, Thomas
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- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Kardiologi
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EuroIntervention
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Lunds universitet