دورية أكاديمية

Long-term mortality after ST-elevation myocardial infarction in the reperfusion and modern secondary prevention therapy era according to coronary artery disease extent: The FAST-MI registries

التفاصيل البيبلوغرافية
العنوان: Long-term mortality after ST-elevation myocardial infarction in the reperfusion and modern secondary prevention therapy era according to coronary artery disease extent: The FAST-MI registries
المؤلفون: Brunet, Thibaud, Bonello, Laurent, Chamandi, Chekrallah, Tea, Victoria, Nallet, Olivier, Lhermusier, Thibault, Gallet, Romain, Labèque, Jean-Noel, Albert, Franck, Schiele, François, Ferrières, Jean, Simon, Tabassome, Danchin, Nicolas, Puymirat, Etienne
المساهمون: Université Pierre et Marie Curie - Paris 6 - UFR de Médecine Pierre et Marie Curie (UPMC), Université Pierre et Marie Curie - Paris 6 (UPMC), Centre recherche en CardioVasculaire et Nutrition = Center for CardioVascular and Nutrition research (C2VN), Aix Marseille Université (AMU)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE), Hôpital Européen Georges Pompidou APHP (HEGP), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO), Paris-Centre de Recherche Cardiovasculaire (PARCC (UMR_S 970/ U970)), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité), Groupe Hospitalier Intercommunal Le Raincy-Montfermeil, Centre Hospitalier Universitaire de Toulouse (CHU Toulouse), École nationale vétérinaire d'Alfort (ENVA), Centre Hospitalier de la Côte Basque (CHCB), Hôpitaux de Chartres Chartres, European Atherosclerosis Society Göteborg, Sweden (EAS), Department of Cardiology B and Epidemiology, CHU Saint-Antoine AP-HP, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)
المصدر: ISSN: 1875-2136.
بيانات النشر: HAL CCSD
Elsevier/French Society of Cardiology
سنة النشر: 2021
مصطلحات موضوعية: Acute myocardial infarction, Multivessel disease, Primary percutaneous coronary intervention, ST-elevation myocardial infarction, [SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system
الوصف: International audience ; Background. - Historical cohorts have shown extent of coronary artery disease to be a predictor of poorer outcomes in ST-segment elevation myocardial infarction. However, contemporary data in the era of reperfusion and modern secondary prevention therapy are lacking.Aim. - To compare 3-year survival in patients with ST-segment elevation myocardial infarction with multivessel disease versus those with single-vessel disease.Methods. - Using data from the FAST-MI 2005, 2010 and 2015 registries, three nationwide French surveys, we included all patients with ST-segment elevation myocardial infarction who underwent primary percutaneous coronary intervention within 24 hours of symptom onset. Baseline characteristics, management and 3-year all-cause mortality were analysed according to coronary status (single-, two- and three-vessel disease).Results. - Among 3907 patients (mean age 62.4 +/- 13.7 years; 75.9% male), patients with multivessel disease (two- or three-vessel disease) accounted for 47.9%; overall, they were older, with higher cardiovascular risk profiles. In a multivariable adjusted Cox proportional hazard regression model, only patients with three-vessel disease had a higher rate of mortality at 3 years compared with those with single-vessel disease (hazard ratio 1.52, 95% confidence interval 1.68-2.26; P < 0.001). Finally, patients with multivessel disease with complete myocardial revascularization before discharge had a similar prognosis to patients with single-vessel disease (hazard ratio 1.17, 95% confidence interval 0.84-1.64; P = 0.35).Conclusions. - Multivessel disease still represents an important proportion of patients with ST-segment elevation myocardial infarction. Although three-vessel disease is associated with higher 3-year mortality, patients with multivessel disease and complete myocardial revascularization in the contemporary era have a 3-year risk of death similar to that in patients with single-vessel disease.
نوع الوثيقة: article in journal/newspaper
اللغة: English
العلاقة: info:eu-repo/semantics/altIdentifier/pmid/34772646; hal-03773032; https://hal.inrae.fr/hal-03773032Test; https://hal.inrae.fr/hal-03773032/documentTest; https://hal.inrae.fr/hal-03773032/file/S1875213621001625.pdfTest; PII: S1875-2136(21)00162-5; PUBMED: 34772646; WOS: 000723417500005
DOI: 10.1016/j.acvd.2021.06.014
الإتاحة: https://doi.org/10.1016/j.acvd.2021.06.014Test
https://hal.inrae.fr/hal-03773032Test
https://hal.inrae.fr/hal-03773032/documentTest
https://hal.inrae.fr/hal-03773032/file/S1875213621001625.pdfTest
حقوق: http://creativecommons.org/licenses/by-ncTest/ ; info:eu-repo/semantics/OpenAccess
رقم الانضمام: edsbas.9D14A6EF
قاعدة البيانات: BASE