Frequent Coronary Lesions and Left Ventricular Ejection Fraction in Patients With Stemi: An Observational Study
DOI:
https://doi.org/10.12707/RVI25.62.42731Keywords:
Myocardial Infarction, Coronary Vessels, SystoleAbstract
Background: Coronary artery disease is the leading cause of death among adults, and ST-segment elevation myocardial infarction (STEMI) represents its most severe clinical manifestation.
Objective: To identify the coronary arteries most frequently affected and the left ventricular ejection fraction (LVEF) values in patients with STEMI.
Methodology: Observational, quantitative, retrospective study. All patients with STEMI treated at a hospital in Portugal between 2014 and 2024 were included.
Results: The sample comprised 1,420 patients. The right coronary artery had the highest frequency of occlusion in 2014 (47.8%), whereas the left anterior descending artery predominated in 2015 (50.8%). The most significant variations occurred in the right coronary and left anterior descending arteries (2014-2015), whereas the obtuse marginal and posterolateral branches peaked in 2020 and 2024, respectively (p<.001). The highest proportion of severe LVEF at discharge was observed in 2019 (6.3%).
Conclusion: The left anterior descending artery was the most frequently obstructed, followed by the right coronary artery. Severe and moderate LVEF values decreased at discharge.
Downloads
References
Ahmed, I. A., Khalid, N. H., Abd-Elmagid, A. E., Abdullah, M. A., Musa, A. M., & Al-Qarni, N. O. (2022). Common coronary artery occlusions in patients with myocardial infarction. The Pan African Medical Journal, 42(254). https://doi.org/10.11604/pamj.2022.42.254.34762
Bhuyan, A. I., & Kawsar, S. M. (2024). Clinical profile and complications in patients with ST-elevation myocardial infarction-a systematic review. Scholars Journal of Applied Medical Sciences, 12(12), 1834-1839. https://doi.org/10.36347/sjams.2024.v12i12.022
Fontes-Carvalho, R., Oliveira, G. M., Cardim, N., & Rochitte, C. E. (2021). O melhor do ano 2020 nos arquivos brasileiros de cardiologia e na revista portuguesa de cardiologia. Arquivos Brasileiros de Cardiologia, 116(6), 1153-1160. https://doi.org/10.36660/abc.20210372
Guarnieri, G., Mele, D., Briguglia, D., Medda, M., Conte, E., Bartorelli, A., & Andreini, D. (2024). A STEMI complicated by cardiogenic shock due to simultaneous acute thrombosis of two coronary vessels in the 'deadly double infarct syndrome': A case report and discussion of literature. Journal of Clinical Medicine, 13(24), 7511. https://doi.org/10.3390/jcm13247511
Ibánez, B., James, S., Agewall, S., Antunes, M. J., Bucciarelli-Ducci, C., Bueno, H., Caforio, A. L., Crea, F., Goudevenos, J. A., Halvorsen, S., Hindricks, G., Kastrati, A., Lenzen, M. J., Prescott, E., Roffi, M., Valgimigli, M., Varenhorst, C., Vranckx, P., & Widimský, P. (2017). 2017 ESC guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. Revista Española de Cardiología, 70(12), 1082. https://doi.org/10.1016/j.rec.2017.11.010
Jan, M., Khan, M., Noman, M., Ullah, H., Alam, K., Riaz, M., Haq, I., & Afzal, S. (2024). Early successful primary percutaneous coronary intervention on left ventricular ejection fraction in patients with ST elevation myocardial infarction. Biological and Clinical Sciences Research Journal, 5(1), 1225. https://doi.org/10.54112/bcsrj.v2024i1.1225
Kurisu, S., & Fujiwara, H. (2024). Apical acute myocardial infarction due to occluded posterior descending branch of right coronary artery concomitant with short left anterior descending artery: Multi-imaging modality assessment. Cureus Journal of Medical Science, 16(7), e64485. https://doi.org/10.7759/cureus.64485
Libby, P., Bonow, R. O., Mann, D., Tomaselli, G., Bhatt, D., Solomon, S., & Braunwald, E. (2022). Braunwald's Heart Disease. Elsevier.
Marchi, E., Muraca, I., Cesarini, D., Pennesi, M., & Valenti, R. (2024). Double coronary artery occlusion presenting as inferior ST segment elevation myocardial infarction and Wellens syndrome type A: A case report. European Heart Journal Case Reports, 8(8), ytae394. https://doi.org/10.1093/ehjcr/ytae394
Mendes, V., Niforou, A., Kasdagli, M. I., Ververis, E., & Naska, A. (2023). Intake of legumes and cardiovascular disease: A systematic review and dose-response meta-analysis. Nutrition, Metabolism and Cardiovascular Diseases, 33(1), 22-37. https://doi.org/10.1016/j.numecd.2022.10.006
Oliveira, G. M., Brant, L. C., Polanczyk, C. A., Biolo, A., Nascimento, B. R., Malta, D. C., Souza, M. F., Soares, G. P., Junior, G. F., Machline-Carrion, M. J., Bittencourt, M. S., Neto, O. M., Silvestre, O. M., Teixeira, R. A., Sampaio, R. O., Gaziano, T. A., Roth, G. A., & Ribeiro, A. L. (2020). Estatística cardiovascular: Brasil 2020. Arquivos Brasileiros de Cardiologia, 115(3), 308-439. https://doi.org/10.36660/abc.20200812
Pereira, T., Fernandes, R. M., Mata, E., Azevedo, O., Bento, D., Jesus, I., & Lourenço, A. (2024). Transthyretin amyloid cardiomyopathy in severe aortic stenosis submitted to valve replacement: A multicenter study. Future Cardiology, 20(7-8), 419-430. https://doi.org/10.1080/14796678.2024.2393031
Regitz-Zagrosek, V., & Gebhard, C. (2023). Gender medicine: effects of sex and gender on cardiovascular disease manifestation and outcomes. Nat Rev Cardiol, 20(4), 236-247. https://doi.org/10.1038/s41569-022-00797-4
Santos, S. C., Villela, P. B., & Oliveira, G. M. M. (2021). Mortality Due to Heart Failure and Socioeconomic Development in Brazil between 1980 and 2018. Arq Bras Cardiol, 117(5), 944-951. https://doi.org/10.36660/abc.20200902
Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gotzsche, P. C., Vandenbroucke, J. P., & STROBE Initiative. (2008). The strengthening the reporting of observational studies in epidemiology (STROBE) statement: Guidelines for reporting observational studies. Journal of Clinical Epidemiology, 61(4), 344-349. https://doi.org/10.1016/j.jclinepi.2007.11.008
World Health Organization. (2020). WHO reveals leading causes of death and disability worldwide: 2000-2019. https://www.who.int/news/item/09-12-2020-who-reveals-leading-causes-of-death-and-disability-worldwide-2000-2019
Zaboli, A., Ausserhofer, D., Sibilio, S., Toccolini, E., Paulmichl, R., Giudiceandrea, A., Bonora, A., Pfeifer, N., & Turcato, G. (2023). Electrocardiogram interpretation during nurse triage improves the performance of the triage system in patients with cardiovascular symptoms: A prospective observational study. International Emergency Nursing, 68(101273). https://doi.org/10.1016/j.ienj.2023.101273
Zaboli, A., Ausserhofer, D., Sibilio, S., Toccolini, E., Paulmichl, R., Giudiceandrea, A., Bonora, A., Pfeifer, N., & Turcato, G. (2023). Electrocardiogram interpretation during nurse triage improves the performance of the triage system in patients with cardiovascular symptoms: A prospective observational study. International Emergency Nursing, 68(101273). https://doi.org/10.1016/j.ienj.2023.101273
Zayat, A. E., Eldeeb, M., Gad, M., & Ibrahim, I. M. (2021). Effect of presence of ramus intermedius artery on location of culprit lesions in acute left circumflex coronary artery occlusion. Journal of the Saudi Heart Association, 33(1), 35-40. https://doi.org/10.37616/2212-5043.1238
Zhang, Y. K., Hu, S. T., Gu, T. S., Jiang, C., Zhang, J. K., Wu, X., Liu, X., Liu, T., & Chen, K. Y. (2024). The clinical characteristics and prognosis of patients with acute ST-segment elevation myocardial infarction complicated with impaired activity daily living. European Heart Journal, 45(Sup. 1). https://doi.org/10.1093/eurheartj/ehae666.1558
Zughaft, D., & Harnek, J. (2014). A review of the role of nurses and technicians in ST-elevation myocardial infarction (STEMI). EuroIntervention, 10(Sup. T), T83-T86. https://doi.org/10.4244/EIJV10STA13
