Sobrevida a largo plazo de pacientes con infarto agudo del miocardio en presencia de oclusiones crónicas totales en vaso no culpable.

Autores/as

  • Jorge Gajardo Laboratorio de Hemodinamia, Hospital Guillermo Grant Benavente, Concepción y Facultad de Medicina de la Universidad de Concepción, Chile
  • Luis Pérez Laboratorio de Hemodinamia, Hospital Guillermo Grant Benavente, Concepción y Facultad de Medicina de la Universidad de Concepción, Chile
  • Guillermo Ibieta Laboratorio de Hemodinamia, Hospital Guillermo Grant Benanvente, Concepción
  • Eduardo Lecannelier Laboratorio de Hemodinamia, Hospital Guillermo Grant Benavente, Concepción
  • Reinaldo Venegas Laboratorio de Hemodinamia, Hospital Guillermo Grant Benavente, Concepción
  • Pamela Garcés Hospital Guillermo Grant Benavente.
  • Alexis González Universidad de Concepción, Chile
  • Aldo Vera Universidad de Concepción, Chile
  • Isabel Robles Laboratorio de Hemodinamia, Hospital Guillermo Grant Benanvente, Concepción
  • Virginia Segall Laboratorio de Hemodinamia, Hospital Guillermo Grant Benanvente, Concepción

Palabras clave:

Coronary Occlusion, Myocardial Infarction, Survival

Resumen

Background: The presence of a chronic total occlusion (CTO) in a non- infarct-related artery in patients with acute myocardial infarction (AMI), may be a sign of bad prognosis. Aim: To estimate the long-term survival of patients with AMI who were studied with coronarography during 2013- 2014 who had one or more CTO in a non- infarct-related artery Material and Methods: Review of coronary angiograms performed between 2013 and 2014 to patients with an AMI. Patients were grouped as having or not a CTO in a non- infarct-related artery. Their medical records were reviewed, and mortality was determined requesting their death certificates. Results: Of 993 patients with AMI undergoing coronarography, 233 (23.5%) had at least one CTO. Patients with CTO were older (66 and 62 years respectively). They also had a higher prevalence of hypertension, diabetes mellitus (DM), kidney failure and moderate to severe systolic ventricular dysfunction. The independent predictors of mortality were CTO, age, DM and kidney failure. Survival at an average follow-up period of 57 months was significantly higher in patients without CTO (89.5 and 80.3% respectively, p<0.01) Conclusions: The presence of CTO in patients with acute myocardial infarction is associated with a higher frequency of cardiovascular risk factors and lower long-term survival.

Biografía del autor/a

Jorge Gajardo, Laboratorio de Hemodinamia, Hospital Guillermo Grant Benavente, Concepción y Facultad de Medicina de la Universidad de Concepción, Chile

Cardiólogo Intervencionista

Luis Pérez, Laboratorio de Hemodinamia, Hospital Guillermo Grant Benavente, Concepción y Facultad de Medicina de la Universidad de Concepción, Chile

Cardiólogo Intervencionista

Guillermo Ibieta, Laboratorio de Hemodinamia, Hospital Guillermo Grant Benanvente, Concepción

Cardiólogo Intervencionista

Eduardo Lecannelier, Laboratorio de Hemodinamia, Hospital Guillermo Grant Benavente, Concepción

Cardiólogo Intervencionista

Reinaldo Venegas, Laboratorio de Hemodinamia, Hospital Guillermo Grant Benavente, Concepción

Cardiólogo Intervencionista

Pamela Garcés, Hospital Guillermo Grant Benavente.

Cardióloga

Alexis González, Universidad de Concepción, Chile

Profesor de estadística, Universidad de Concepción

Aldo Vera, Universidad de Concepción, Chile

Profesor de estadística, Universidad de Concepción

Isabel Robles, Laboratorio de Hemodinamia, Hospital Guillermo Grant Benanvente, Concepción

Tecnólogo Medico

Virginia Segall, Laboratorio de Hemodinamia, Hospital Guillermo Grant Benanvente, Concepción

Enfermera

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Publicado

2021-10-15

Cómo citar

Gajardo, J., Pérez, L., Ibieta, G., Lecannelier, E., Venegas, R., Garcés, P., González, A., Vera, A., Robles, I., & Segall, V. (2021). Sobrevida a largo plazo de pacientes con infarto agudo del miocardio en presencia de oclusiones crónicas totales en vaso no culpable. Revista Médica De Chile, 150(2). Recuperado a partir de https://revistamedicadechile.cl/index.php/rmedica/article/view/8917

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