Clinical outcome of patients with ST‐elevation myocardial infarction and angiographic evidence of coronary artery ectasia

Objectives The aim of this study was to describe the prevalence of coronary artery ectasia (CAE) in patients with ST‐elevation myocardial infarction (STEMI) and to compare the long‐term outcome of subjects with and without CAE undergoing emergent coronary angiography. Background The prognostic impac...

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Published in:Catheterization and cardiovascular interventions 2022-02, Vol.99 (2), p.340-347
Main Authors: Baldi, Cesare, Silverio, Angelo, Esposito, Luca, Di Maio, Marco, Tarantino, Fabio, De Angelis, Elena, Fierro, Giuseppe, Attisano, Tiziana, Di Muro, Michele Roberto, Maione, Antongiulio, Pierri, Adele, Vigorito, Francesco, Vecchione, Carmine, Galasso, Gennaro
Format: Article
Language:English
Subjects:
Angiography
Clinical outcomes
Coronary Angiography
Coronary artery
coronary artery ectasia
Coronary vessels
Coronary Vessels - diagnostic imaging
Diabetes mellitus
Dilatation, Pathologic - etiology
Heart attacks
Humans
Male
Medical imaging
Myocardial infarction
outcome
Patients
percutaneous coronary intervention
Percutaneous Coronary Intervention - adverse effects
Retrospective Studies
ST Elevation Myocardial Infarction - diagnostic imaging
ST Elevation Myocardial Infarction - epidemiology
ST Elevation Myocardial Infarction - therapy
ST‐elevation myocardial infarction
Thrombolysis
Treatment Outcome
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Summary:Objectives The aim of this study was to describe the prevalence of coronary artery ectasia (CAE) in patients with ST‐elevation myocardial infarction (STEMI) and to compare the long‐term outcome of subjects with and without CAE undergoing emergent coronary angiography. Background The prognostic impact of CAE in STEMI patients has been poorly investigated. Methods This retrospective, single‐center, study included consecutive patients with STEMI undergoing emergent coronary angiography from January 2012 to December 2017. The primary endpoint was the assessment of recurrent myocardial infarction (MI) in patients with versus those without CAE at the longest available follow‐up. The propensity score weighting technique was employed to account for potential selection bias between groups. Results From 1,674 patients with STEMI, 154 (9.2%) had an angiographic evidence of CAE; 380 patients were included in the no CAE group. CAE patients were more often males and smokers, and showed a lower prevalence of diabetes than no CAE patients. After percutaneous coronary intervention, the corrected thrombolysis in MI frame count (p 
ISSN:1522-1946
1522-726X
DOI:10.1002/ccd.29738