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Prognosis in patients with myocardial infarction with ST-elevation depending on the timing of interventional revascularization

N. Penkov, V. Mura, O. Hlinomaz, D. Velevski, Y. Sitar, G. Kirilova, M. Rezek, M. Zlatanova, D. Dimova, Y. Dichkova


The prognosis (in-hospital and post-hospitalization lethality by the end of the 6th moth) of 300 patients (212 men and 88 women) with a first myocardial infarction with ST-elevation (STEMI) at an average age of 62.9 years was studied depending on the timing of the conducted primary coronary intervention (PCI) after the onset of symptoms. Depending on the timing of the conducted PCI, the patients were divided into 4 groups: by the 3rd, 6th, 12th, and 24th hour after the onset of the infarction. The patients` in-hospital lethality was 6.3%, and that by the end of the 6th month - 13.3%. It was the same for groups I and II and significantly lower than in groups III and IV; higher in women, in patients over 65 years of age, with ejection fraction (EF) <35.0% and with thrombotic occlusion of LM and LAD.


myocardial infarction; ST-elevation; STEMI; primary coronary revascularization; PCI

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