In:
Annals of Noninvasive Electrocardiology, Wiley, Vol. 29, No. 3 ( 2024-05)
Abstract:
Early detection of patients concomitant with left main and/or three‐vessel disease (LM/3VD) and high SYNTAX score (SS) is crucial for determining the most effective revascularization options regarding the use of antiplatelet medications and prognosis risk stratification. However, there is a lack of study for predictors of LM/3VD with SS in patients with non‐ST‐segment elevation myocardial infarction (NSTEMI). We aimed to identify potential factors that could predict LM/3VD with high SS (SS 〉 22) in patients with NSTEMI. Methods This dual‐center retrospective study included a total of 481 patients diagnosed with NSTEMI who performed coronary angiography procedures. Clinical factors on admission were collected. The patients were divided into non‐LM/3VD, Nonsevere LM/3VD (SS ≤ 22), and Severe LM/3VD (SS 〉 22) groups. To identify independent predictors, Univariate and logistic regression analyses were conducted on the clinical parameters. Results A total of 481 patients were included, with an average age of 60.9 years and 75.9% being male. Among these patients, 108 individuals had severe LM/3VD. Based on the findings of a multivariate logistic regression analysis, the extent of ST‐segment elevation observed in lead aVR (OR: 7.431, 95% CI: 3.862–14.301, p 〈 .001) and age (OR: 1.050, 95% CI: 1.029–1.071, p 〈 .001) were identified as independent predictors of severe LM/3VD. Conclusion This study indicated that the age of patients and the extent of ST‐segment elevation observed in lead aVR on initial electrocardiogram were the independent predictive factors of LM/3VD with high SS in patients with NSTEMI.
Type of Medium:
Online Resource
ISSN:
1082-720X
,
1542-474X
Language:
English
Publisher:
Wiley
Publication Date:
2024
detail.hit.zdb_id:
2111515-1
