Short Term Follow up for Diabetic Patients Presented with Acute STEMI Undergoing Preventive Versus Culprit Lesion in Primary Percutaneous Coronary Intervention

Mohamed Elsayed Shuman; Ahmed Abdallah Mostafa; Ghada Mahmoud Soltan; Abdalla Mostafa Kamal

doi:doi:10.11648/j.ccr.20190304.15

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Short Term Follow up for Diabetic Patients Presented with Acute STEMI Undergoing Preventive Versus Culprit Lesion in Primary Percutaneous Coronary Intervention

Mohamed Elsayed Shuman, Ahmed Abdallah Mostafa, Ghada Mahmoud Soltan, Abdalla Mostafa Kamal

Published in Cardiology and Cardiovascular Research (Volume 3, Issue 4)

Received: 2 November 2019 Accepted: 23 November 2019 Published: 4 December 2019

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Abstract

Objectives: This study aimed to evaluate the short term follow up for diabetic patients presented with acute STEMI underwent preventive percutaneous coronary intervention. Background: preventive PCI appears to be safe as culprit artery PCI with effective reduction of refractory angina and repeated revascularization in selected patients but no benefit on mortality or recurrent MI. Methods: Our study was a prospective, observational study conducted at multicenter hospitals included 120 diabetic patients admitted with acute STEMI and multivessels CAD at National Heart Institute, Menofia university hospital, police academy center and some private hospitals patients from June 2017 to august 2018, group (A) Consisted of 70 diabetic patients with acute STEMI undergone preventive PCI in whom PCI will be done for culprit & non culprit lesions, group (B) Consisted of 50 diabetic patients with acute STEMI undergone PCI for culprit lesion only. Results: The total revascularization group were significantly less suffering from refractory angina 5 (7.1%) vs 15 (30.0%), p= <0.001 and less re-hospitalized for cardiac causes 14 (20.0%) vs 22 (44.0%), p= 0.005, cardiac mortality was 2 patients 0 (0.0%) vs 2 (4%) p= 0.092. Conclusion: The preventive PCI appears to be safe as culprit artery PCI with effective reduction of refractory angina and repeated revascularization but no benefit on mortality or recurrent MI in selected hemodynamically stable STEMI diabetic patients with multivessel disease.

Published in	Cardiology and Cardiovascular Research (Volume 3, Issue 4)
DOI	10.11648/j.ccr.20190304.15
Page(s)	99-103
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

STEMI, Multivessels CAD, Preventive PCI

References

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[3]	Bates E. R. Tamis-Holland J E, Bittl JA, et al. PCI Strategies in Patients with ST-Segment Elevation Myocardial Infarction and Multi-vessel Coronary Artery Disease. J Am CollCardiol. 2016; 68 (10): 1066–81.
[4]	Gershlick AH, Khan JN, Kelly DJ, et al. Randomized trial of complete versus lesion-only revascularization in patients under- going primary percutaneous coronary intervention for STEMI and multi-vessel Disease: the CvLPRIT trial. J Am CollCardiol. 2015; 65: 963–72.
[5]	Goldstein JA, Demetriou D, Grines CL, et al. Multiple complex coronary plaques in patients with acute myocardial infarction. N Engl J Med, 2000; 343: 915–922.
[6]	Kalarus Z, Lenarczyk R, Kowalczyk J, et al. Importance of complete revascularization in patients with acute myocardial infarction treated with percutaneous coronary intervention. Am Heart J 2007; 153: 304-312.
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[8]	Lee HW, Hong TJ, Yang Mi J, et al. Comparison of infarct- related artery vs multivessel revascularization in ST-segment elevation myocardial infarction with multivessel disease: analysis from Korea Acute Myocardial Infarction registry (KAMIR). Cardiol J 2012; 19, 3: 256-266.
[9]	Levine GN, O’Gara PT, Bates ER, et al. 2015 ACC/AHA/SCAI focused update on primary percutaneous coronary intervention for patients with ST- elevation myocardial infarction: an update of the 2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention and the 2013 ACCF/AHA Guideline for the Management of ST- Elevation Myocardial Infarction. J Am Coll Cardiol 2015; 67: 1235–50.
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[13]	O’Gara PT, Kushner FG, Ascheim DD, et al. 2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation. 2013; 127: 529–55.
[14]	Qarawani D, Nahir M, Abboud M, et al. Culprit only versus complete coronary revascularization during primary PCI. Int J Cardiol. 2008; 123: 288–92.
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APA Style

Mohamed Elsayed Shuman, Ahmed Abdallah Mostafa, Ghada Mahmoud Soltan, Abdalla Mostafa Kamal. (2019). Short Term Follow up for Diabetic Patients Presented with Acute STEMI Undergoing Preventive Versus Culprit Lesion in Primary Percutaneous Coronary Intervention. Cardiology and Cardiovascular Research, 3(4), 99-103. https://doi.org/10.11648/j.ccr.20190304.15

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ACS Style

Mohamed Elsayed Shuman; Ahmed Abdallah Mostafa; Ghada Mahmoud Soltan; Abdalla Mostafa Kamal. Short Term Follow up for Diabetic Patients Presented with Acute STEMI Undergoing Preventive Versus Culprit Lesion in Primary Percutaneous Coronary Intervention. Cardiol. Cardiovasc. Res. 2019, 3(4), 99-103. doi: 10.11648/j.ccr.20190304.15

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AMA Style

Mohamed Elsayed Shuman, Ahmed Abdallah Mostafa, Ghada Mahmoud Soltan, Abdalla Mostafa Kamal. Short Term Follow up for Diabetic Patients Presented with Acute STEMI Undergoing Preventive Versus Culprit Lesion in Primary Percutaneous Coronary Intervention. Cardiol Cardiovasc Res. 2019;3(4):99-103. doi: 10.11648/j.ccr.20190304.15

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@article{10.11648/j.ccr.20190304.15,
  author = {Mohamed Elsayed Shuman and Ahmed Abdallah Mostafa and Ghada Mahmoud Soltan and Abdalla Mostafa Kamal},
  title = {Short Term Follow up for Diabetic Patients Presented with Acute STEMI Undergoing Preventive Versus Culprit Lesion in Primary Percutaneous Coronary Intervention},
  journal = {Cardiology and Cardiovascular Research},
  volume = {3},
  number = {4},
  pages = {99-103},
  doi = {10.11648/j.ccr.20190304.15},
  url = {https://doi.org/10.11648/j.ccr.20190304.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20190304.15},
  abstract = {Objectives: This study aimed to evaluate the short term follow up for diabetic patients presented with acute STEMI underwent preventive percutaneous coronary intervention. Background: preventive PCI appears to be safe as culprit artery PCI with effective reduction of refractory angina and repeated revascularization in selected patients but no benefit on mortality or recurrent MI. Methods: Our study was a prospective, observational study conducted at multicenter hospitals included 120 diabetic patients admitted with acute STEMI and multivessels CAD at National Heart Institute, Menofia university hospital, police academy center and some private hospitals patients from June 2017 to august 2018, group (A) Consisted of 70 diabetic patients with acute STEMI undergone preventive PCI in whom PCI will be done for culprit & non culprit lesions, group (B) Consisted of 50 diabetic patients with acute STEMI undergone PCI for culprit lesion only. Results: The total revascularization group were significantly less suffering from refractory angina 5 (7.1%) vs 15 (30.0%), p= <0.001 and less re-hospitalized for cardiac causes 14 (20.0%) vs 22 (44.0%), p= 0.005, cardiac mortality was 2 patients 0 (0.0%) vs 2 (4%) p= 0.092. Conclusion: The preventive PCI appears to be safe as culprit artery PCI with effective reduction of refractory angina and repeated revascularization but no benefit on mortality or recurrent MI in selected hemodynamically stable STEMI diabetic patients with multivessel disease.},
 year = {2019}
}

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TY  - JOUR
T1  - Short Term Follow up for Diabetic Patients Presented with Acute STEMI Undergoing Preventive Versus Culprit Lesion in Primary Percutaneous Coronary Intervention
AU  - Mohamed Elsayed Shuman
AU  - Ahmed Abdallah Mostafa
AU  - Ghada Mahmoud Soltan
AU  - Abdalla Mostafa Kamal
Y1  - 2019/12/04
PY  - 2019
N1  - https://doi.org/10.11648/j.ccr.20190304.15
DO  - 10.11648/j.ccr.20190304.15
T2  - Cardiology and Cardiovascular Research
JF  - Cardiology and Cardiovascular Research
JO  - Cardiology and Cardiovascular Research
SP  - 99
EP  - 103
PB  - Science Publishing Group
SN  - 2578-8914
UR  - https://doi.org/10.11648/j.ccr.20190304.15
AB  - Objectives: This study aimed to evaluate the short term follow up for diabetic patients presented with acute STEMI underwent preventive percutaneous coronary intervention. Background: preventive PCI appears to be safe as culprit artery PCI with effective reduction of refractory angina and repeated revascularization in selected patients but no benefit on mortality or recurrent MI. Methods: Our study was a prospective, observational study conducted at multicenter hospitals included 120 diabetic patients admitted with acute STEMI and multivessels CAD at National Heart Institute, Menofia university hospital, police academy center and some private hospitals patients from June 2017 to august 2018, group (A) Consisted of 70 diabetic patients with acute STEMI undergone preventive PCI in whom PCI will be done for culprit & non culprit lesions, group (B) Consisted of 50 diabetic patients with acute STEMI undergone PCI for culprit lesion only. Results: The total revascularization group were significantly less suffering from refractory angina 5 (7.1%) vs 15 (30.0%), p= <0.001 and less re-hospitalized for cardiac causes 14 (20.0%) vs 22 (44.0%), p= 0.005, cardiac mortality was 2 patients 0 (0.0%) vs 2 (4%) p= 0.092. Conclusion: The preventive PCI appears to be safe as culprit artery PCI with effective reduction of refractory angina and repeated revascularization but no benefit on mortality or recurrent MI in selected hemodynamically stable STEMI diabetic patients with multivessel disease.
VL  - 3
IS  - 4
ER  -

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Author Information

Mohamed Elsayed Shuman

Cardiology Department, National Heart Institute, Cairo, Egypt
Ahmed Abdallah Mostafa

Cardiology Department, Police Academy Center, Cairo, Egypt
Ghada Mahmoud Soltan

Cardiology Department, Faculty of Medicine, Menofia Unversity, Al Minufya, Egypt
Abdalla Mostafa Kamal

Cardiology Department, Faculty of Medicine, Menofia Unversity, Al Minufya, Egypt

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APA Style

Mohamed Elsayed Shuman, Ahmed Abdallah Mostafa, Ghada Mahmoud Soltan, Abdalla Mostafa Kamal. (2019). Short Term Follow up for Diabetic Patients Presented with Acute STEMI Undergoing Preventive Versus Culprit Lesion in Primary Percutaneous Coronary Intervention. Cardiology and Cardiovascular Research, 3(4), 99-103. https://doi.org/10.11648/j.ccr.20190304.15

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ACS Style

Mohamed Elsayed Shuman; Ahmed Abdallah Mostafa; Ghada Mahmoud Soltan; Abdalla Mostafa Kamal. Short Term Follow up for Diabetic Patients Presented with Acute STEMI Undergoing Preventive Versus Culprit Lesion in Primary Percutaneous Coronary Intervention. Cardiol. Cardiovasc. Res. 2019, 3(4), 99-103. doi: 10.11648/j.ccr.20190304.15

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AMA Style

Mohamed Elsayed Shuman, Ahmed Abdallah Mostafa, Ghada Mahmoud Soltan, Abdalla Mostafa Kamal. Short Term Follow up for Diabetic Patients Presented with Acute STEMI Undergoing Preventive Versus Culprit Lesion in Primary Percutaneous Coronary Intervention. Cardiol Cardiovasc Res. 2019;3(4):99-103. doi: 10.11648/j.ccr.20190304.15

Copy | Download

@article{10.11648/j.ccr.20190304.15,
  author = {Mohamed Elsayed Shuman and Ahmed Abdallah Mostafa and Ghada Mahmoud Soltan and Abdalla Mostafa Kamal},
  title = {Short Term Follow up for Diabetic Patients Presented with Acute STEMI Undergoing Preventive Versus Culprit Lesion in Primary Percutaneous Coronary Intervention},
  journal = {Cardiology and Cardiovascular Research},
  volume = {3},
  number = {4},
  pages = {99-103},
  doi = {10.11648/j.ccr.20190304.15},
  url = {https://doi.org/10.11648/j.ccr.20190304.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20190304.15},
  abstract = {Objectives: This study aimed to evaluate the short term follow up for diabetic patients presented with acute STEMI underwent preventive percutaneous coronary intervention. Background: preventive PCI appears to be safe as culprit artery PCI with effective reduction of refractory angina and repeated revascularization in selected patients but no benefit on mortality or recurrent MI. Methods: Our study was a prospective, observational study conducted at multicenter hospitals included 120 diabetic patients admitted with acute STEMI and multivessels CAD at National Heart Institute, Menofia university hospital, police academy center and some private hospitals patients from June 2017 to august 2018, group (A) Consisted of 70 diabetic patients with acute STEMI undergone preventive PCI in whom PCI will be done for culprit & non culprit lesions, group (B) Consisted of 50 diabetic patients with acute STEMI undergone PCI for culprit lesion only. Results: The total revascularization group were significantly less suffering from refractory angina 5 (7.1%) vs 15 (30.0%), p= <0.001 and less re-hospitalized for cardiac causes 14 (20.0%) vs 22 (44.0%), p= 0.005, cardiac mortality was 2 patients 0 (0.0%) vs 2 (4%) p= 0.092. Conclusion: The preventive PCI appears to be safe as culprit artery PCI with effective reduction of refractory angina and repeated revascularization but no benefit on mortality or recurrent MI in selected hemodynamically stable STEMI diabetic patients with multivessel disease.},
 year = {2019}
}

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TY  - JOUR
T1  - Short Term Follow up for Diabetic Patients Presented with Acute STEMI Undergoing Preventive Versus Culprit Lesion in Primary Percutaneous Coronary Intervention
AU  - Mohamed Elsayed Shuman
AU  - Ahmed Abdallah Mostafa
AU  - Ghada Mahmoud Soltan
AU  - Abdalla Mostafa Kamal
Y1  - 2019/12/04
PY  - 2019
N1  - https://doi.org/10.11648/j.ccr.20190304.15
DO  - 10.11648/j.ccr.20190304.15
T2  - Cardiology and Cardiovascular Research
JF  - Cardiology and Cardiovascular Research
JO  - Cardiology and Cardiovascular Research
SP  - 99
EP  - 103
PB  - Science Publishing Group
SN  - 2578-8914
UR  - https://doi.org/10.11648/j.ccr.20190304.15
AB  - Objectives: This study aimed to evaluate the short term follow up for diabetic patients presented with acute STEMI underwent preventive percutaneous coronary intervention. Background: preventive PCI appears to be safe as culprit artery PCI with effective reduction of refractory angina and repeated revascularization in selected patients but no benefit on mortality or recurrent MI. Methods: Our study was a prospective, observational study conducted at multicenter hospitals included 120 diabetic patients admitted with acute STEMI and multivessels CAD at National Heart Institute, Menofia university hospital, police academy center and some private hospitals patients from June 2017 to august 2018, group (A) Consisted of 70 diabetic patients with acute STEMI undergone preventive PCI in whom PCI will be done for culprit & non culprit lesions, group (B) Consisted of 50 diabetic patients with acute STEMI undergone PCI for culprit lesion only. Results: The total revascularization group were significantly less suffering from refractory angina 5 (7.1%) vs 15 (30.0%), p= <0.001 and less re-hospitalized for cardiac causes 14 (20.0%) vs 22 (44.0%), p= 0.005, cardiac mortality was 2 patients 0 (0.0%) vs 2 (4%) p= 0.092. Conclusion: The preventive PCI appears to be safe as culprit artery PCI with effective reduction of refractory angina and repeated revascularization but no benefit on mortality or recurrent MI in selected hemodynamically stable STEMI diabetic patients with multivessel disease.
VL  - 3
IS  - 4
ER  -

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