Factors Affecting Prognosis Based on Right Coronary Artery Pathologies
Journal Title: Eurasian Journal of Emergency Medicine - Year 2019, Vol 18, Issue 3
Abstract
Aim: Blood glucose levels, cardiac troponin (cTn) values within the first 12 hours, ejection fraction (EF), bundle branch block and Gensini scores of patients who were admitted to the emergency department for acute inferior myocardial infarction (AIMI) were compared based on the bundle branch of the occluded right coronary artery (RCA) with regard to prognosis. Materials and Methods: The data of the study were acquired through retrospective review of 212 patients with AIMI (48 women, 164 men; median age=64 years) who applied to the emergency department due to chest pain and who were hospitalized in cardiology clinic between January 2012 and December 2015. The patients were divided into five RCA groups based on the angiography results. The level of mortality and three-vessel disease (TVD) were compared based on age, gender, blood glucose, EF, Gensini score (GS), cTn, bundle branch block, type of myocardial infarction and percentage of the occluded vein. Results: Major percentage of the occluded vein, cTn, high-density lipoproteins, blood glucose, GS, and EF were statistically significant. The most frequent complication that occurred after acute myocardial infarction was ischemic heart failure (IHF) and it was mostly seen in RCA. Mortality, ventricular tachycardia (VT) and acute pulmonary edema (APE) were seen in acute ST-elevated MI that was close to circumflex artery (Cx) and lateral region. Cardiac tamponade or pericardial effusion was more frequent in mid-RCA. IHF, VT, atrioventricular complete block and APE were common in female patients. Male patients had only higher levels of cardiac tamponade and/or pericardial effusion (p<0.05). Mortality rate was 31.3% (n=15) in female patients and 11.6% (n=19) in male patients. Mortality and right bundle branch block were most common in acute inferoposterior myocardial infarction and IHF AIMI, as well as left bundle branch block was most common in inferolateral MI. TVD was more common in infarctions close to Cx, as well as most frequently in RCA when it was compared with the major occluded vein. Conclusion: Diagnosing an acute coronary syndrome and determining its characteristics based on RCA and the involved segment might be a predictive vision for rapidly predicting complications in TVD and mortality.
Authors and Affiliations
Abuzer Coşkun, İlhan Korkmaz, Şevki Hakan Eren
Keywords
Related Articles
- EP ID EP50465
- DOI 10.4274/eajem.galenos.2019.86158
- Views 298
- Downloads 0
Steroid Injection Versus Open Surgery in the Treatment of De Quervain’s Tenosynovitis
Aim: This study aimed to compare steroid injection and open surgery in the treatment of De Quervain’s tenosynovitis. Materials and Methods: Between January 2013 and April 2015, a total of 82 patients (65 females, 17 mal...
Evaluation of the Correlation Between Breast Artery Calcification and Coronary Artery Calcium Scores in Predicting the Risk for Cardiovascular Disease
Aim: Coronary artery calcium (CAC) score is a scoring system used in the stratification of coronary risks. Breast artery calcification (BAC) is a type of medial artery calcification that can be visualized using mammograp...
Concerning Nephrotoxicity of Top Guns: Concomitant Pippercillintazobactam and Vancomycin with Vancomycin Alone During Treatment of Critically Ill Patients
Aim: Use of combination antibiotics piperacillin-tazobactam (PTZ) and vancomycin (VAN) is so often used as “top guns” for severe infections in hospitalized patients. VAN’s nephrotoxicity is well-known. PTZ has been seen...
Anxiety Level in Pre-hospital Emergency Medical Services Personnel During Coronavirus Disease-2019 Pandemic
Aim: This study aimed to determine the anxiety level in pre-hospital emergency medical services personnel (PHEMSPs) and investigate the factors that potentially affect the anxiety level during the pandemic. Materials an...
Driver Behaviors of 112 Emergency Medical Services Personnel
Aim: The purpose of this study is to determine the driver behaviors of emergency health personnel driving ambulances. Materials and Methods: This descriptive study included ambulance drivers at the İzmir 112 Emergency M...