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Complete Revascular...
Complete Revascularization Versus Culprit Lesion Only in Patients With ST-Segment Elevation Myocardial Infarction and Multivessel Disease : A DANAMI-3–PRIMULTI Cardiac Magnetic Resonance Substudy
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- Kyhl, Kasper (författare)
- Copenhagen University Hospital
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- Ahtarovski, Kiril Aleksov (författare)
- Copenhagen University Hospital
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- Nepper-Christensen, Lars (författare)
- Copenhagen University Hospital
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- Ekström, Kathrine (författare)
- Copenhagen University Hospital
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- Ghotbi, Adam Ali (författare)
- Copenhagen University Hospital
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- Schoos, Mikkel (författare)
- Copenhagen University Hospital
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- Göransson, Christoffer (författare)
- Copenhagen University Hospital
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- Bertelsen, Litten (författare)
- Copenhagen University Hospital
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- Helqvist, Steffen (författare)
- Copenhagen University Hospital
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- Holmvang, Lene (författare)
- Copenhagen University Hospital
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- Jørgensen, Erik (författare)
- Copenhagen University Hospital
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- Pedersen, Frants (författare)
- Copenhagen University Hospital
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- Saunamäki, Kari (författare)
- Copenhagen University Hospital
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- Clemmensen, Peter (författare)
- Nykøbing Falster Hospital,University of Southern Denmark,University Medical Center Hamburg-Eppendorf
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- De Backer, Ole (författare)
- Copenhagen University Hospital
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- Høfsten, Dan Eik (författare)
- Copenhagen University Hospital
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- Køber, Lars (författare)
- Copenhagen University Hospital
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- Kelbæk, Henning (författare)
- Zealand University Hospital
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- Vejlstrup, Niels (författare)
- Zealand University Hospital
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- Lønborg, Jacob (författare)
- Zealand 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)
- Elsevier BV, 2019
- 2019
- Engelska 10 s.
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Ingår i: JACC: Cardiovascular Interventions. - : Elsevier BV. - 1936-8798. ; 12:8, s. 721-730
- Relaterad länk:
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http://dx.doi.org/10...
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https://doi.org/10.1...
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Objectives: The aim of this study was to evaluate the effect of fractional flow reserve (FFR)–guided revascularization compared with culprit-only percutaneous coronary intervention (PCI) in patients with ST-segment elevation myocardial infarction (STEMI) on infarct size, left ventricular (LV), function, LV remodeling, and the presence of nonculprit infarctions. Background: Patients with STEMI with multivessel disease might have improved clinical outcomes after complete revascularization compared with PCI of the infarct-related artery only, but the impact on infarct size, LV function, and remodeling as well as the risk for periprocedural infarction are unknown. Methods: In this substudy of the DANAMI-3 (Third Danish Trial in Acute Myocardial Infarction)–PRIMULTI (Primary PCI in Patients With ST-Elevation Myocardial Infarction and Multivessel Disease: Treatment of Culprit Lesion Only or Complete Revascularization) randomized trial, patients with STEMI with multivessel disease were randomized to receive either complete FFR-guided revascularization or PCI of the culprit vessel only. The patients underwent cardiac magnetic resonance imaging during index admission and at 3-month follow-up. Results: A total of 280 patients (136 patients with infarct-related and 144 with complete FFR-guided revascularization) were included. There were no differences in final infarct size (median 12% [interquartile range: 5% to 19%] vs. 11% [interquartile range: 4% to 18%]; p = 0.62), myocardial salvage index (median 0.71 [interquartile range: 0.54 to 0.89] vs. 0.66 [interquartile range: 0.55 to 0.87]; p = 0.49), LV ejection fraction (mean 58 ± 9% vs. 59 ± 9%; p = 0.39), and LV end-systolic volume remodeling (mean 7 ± 22 ml vs. 7 ± 19 ml; p = 0.63). New nonculprit infarction occurring after the nonculprit intervention was numerically more frequent among patients treated with complete revascularization (6 [4.5%] vs. 1 [0.8%]; p = 0.12). Conclusions: Complete FFR-guided revascularization in patients with STEMI and multivessel disease did not affect final infarct size, LV function, or remodeling compared with culprit-only PCI.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- acute myocardial infarction
- cardiac function
- cardiac remodeling
- cardiovascular magnetic resonance
- complete revascularization
- culprit lesion
- primary percutaneous coronary intervention
- randomization
- randomized study
- ST-segment elevation myocardial infarction
Publikations- och innehållstyp
- art (ämneskategori)
- ref (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Kyhl, Kasper
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Ahtarovski, Kiri ...
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Nepper-Christens ...
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Ekström, Kathrin ...
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Ghotbi, Adam Ali
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Schoos, Mikkel
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Göransson, Chris ...
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Bertelsen, Litte ...
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Helqvist, Steffe ...
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Holmvang, Lene
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Jørgensen, Erik
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Pedersen, Frants
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Saunamäki, Kari
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Clemmensen, Pete ...
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De Backer, Ole
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Høfsten, Dan Eik
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Køber, Lars
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Kelbæk, Henning
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Vejlstrup, Niels
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Lønborg, Jacob
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Engstrøm, Thomas
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- MEDICIN OCH HÄLSOVETENSKAP
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