ADDED Index or Percentage Diameter of Residual Coronary Stenosis to Risk-Stratify Patients Presenting With STEMI

We compared the prognostic value of the ADDED Index with visually estimated diameter (DS) of residual coronary stenosis (RS) in STEMI patients after successful PCI of the culprit lesion. Even though associated with a positive outcome, the functional assessment of non-culprit stenosis remains largely...

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Bibliographic Details
Published in:Cardiovascular revascularization medicine 2022-01, Vol.34, p.92-98
Main Authors: Di Serafino, Luigi, Magliulo, Fabio, Barbato, Emanuele, Cirillo, Plinio, Esposito, Mafalda, Serino, Federica, Ziviello, Francesca, Stabile, Eugenio, Franzone, Anna, Piccolo, Raffaele, Borgia, Francesco, Morisco, Carmine, Rapacciuolo, Antonio, Esposito, Giovanni
Format: Article
Language:English
Subjects:
Coronary Angiography
Coronary Artery Disease - therapy
Coronary Stenosis - diagnostic imaging
Coronary Stenosis - etiology
Coronary Stenosis - therapy
Humans
Multivessel disease
Myocardial Infarction - diagnostic imaging
Myocardial Infarction - etiology
Myocardial Infarction - therapy
Non-culprit stenosis
Percutaneous Coronary Intervention - adverse effects
Retrospective Studies
Risk stratification
ST Elevation Myocardial Infarction - diagnostic imaging
ST Elevation Myocardial Infarction - therapy
Treatment Outcome
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Summary:We compared the prognostic value of the ADDED Index with visually estimated diameter (DS) of residual coronary stenosis (RS) in STEMI patients after successful PCI of the culprit lesion. Even though associated with a positive outcome, the functional assessment of non-culprit stenosis remains largely underused, especially in STEMI patients. The Angiography-DeriveD hEmoDynamic index (ADDED index) showed high accuracy to predict FFR and it might be used to better guide the diagnostic and therapeutic work-up of such patients. We retrospectively included 596 patients grouped on the basis of either the ADDED Index (ADDED Negative (
ISSN:1553-8389
1878-0938
DOI:10.1016/j.carrev.2021.01.030