Equilibrium radionuclide angiography for evaluating the effect of facilitated percutaneous coronary intervention on ventricular synchrony in patients with acute myocardial infarction.

Abstract

BACKGROUND:

It is unclear whether facilitated percutaneous coronary intervention (PCI) via a transradial approach therapy is preferable to primary PCI, with improved ventricular synchrony performance (VS), in Chinese patients.

METHODS AND RESULTS:

The 152 patients with their first anterior acute myocardial infarction (AMI) were randomized to a primary PCI group or facilitated PCI group. In the 1(st) week and 6(th) month after AMI onset, the parameters of VS were measured by equilibrium radionuclide angiography with ventricular phase analysis. The rate of TIMI grade-3 flow in the infarct-related artery pre-PCI in the facilitated PCI group was higher than that in the primary PCI group (30.56% vs. 8.45%, P=0.001). At the 6(th) month post-AMI, the parameters of time to peak ejection rate, phase shift and peak phase standard deviation were lower than in the primary PCI group (P<0.05, respectively). The incidence of recurrent ischemia and new or worsening congestive heart failure post-AMI in the facilitated PCI group was significantly lower than that in the primary PCI group (2.78% vs. 9.86%, P=0.043; 2.78% vs. 12.68%, P=0.028).

CONCLUSIONS:

Facilitated PCI via a transradial approach might significantly inhibit left ventricular remodeling and improve left ventricular function because of the complete, persistent patency of the infarct-related artery with few complications of vessel access and bleeding.

• Authors: Jun Liu, Xiang-Hua Fu, Ling Xue, Wei-Li Wu, Xin-Shun Gu, Shi-Qiang Li
• Journal: Circulation journal : official journal of the Japanese Circulation Society (Circ J) Vol. 76 Issue 4 Pg. 928-35 ( 2012) ISSN: 1347-4820 [Electronic] Japan
• PMID: 22313803 (Publication Type: Journal Article, Randomized Controlled Trial)

Topics

• Aged
• Analysis of Variance
• Angioplasty, Balloon, Coronary (adverse effects, methods)
• Anterior Wall Myocardial Infarction (diagnostic imaging, physiopathology, therapy)
• Chi-Square Distribution
• China
• Coronary Angiography
• Female
• Gated Blood-Pool Imaging
• Humans
• Male
• Middle Aged
• Predictive Value of Tests
• Radial Artery
• Recovery of Function
• Stroke Volume
• Time Factors
• Treatment Outcome
• Ventricular Dysfunction, Left (diagnostic imaging, physiopathology, therapy)
• Ventricular Function, Left
• Ventricular Remodeling