Clinical and Electrocardiographic Correlates of Normal Coronary Angiography in Patients Referred for Primary Percutaneous Coronary Intervention

This study sought to determine the prevalence as well as clinical and electrocardiographic correlates of patients referred for primary percutaneous coronary intervention (PCI) who had angiographically normal coronary arteries. Data for 690 consecutive patients with ST-elevation myocardial infarction...

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Bibliographic Details
Published in:The American journal of cardiology 2008-07, Vol.102 (2), p.155-159
Main Authors: Prasad, Sandhir B., MBBS, Richards, David A.B., MBBS, MD, Sadick, Norman, MBBS, PhD, Ong, Andrew T.L., MBBS, PhD, Kovoor, Pramesh, MBBS, PhD
Format: Article
Language:English
Subjects:
Angioplasty
Angioplasty, Balloon, Coronary
Biological and medical sciences
Bundle-Branch Block
Cardiology
Cardiology. Vascular system
Cardiovascular
Cardiovascular system
Case-Control Studies
Coronary Angiography
Coronary Artery Disease - diagnosis
Coronary Artery Disease - diagnostic imaging
Coronary Artery Disease - physiopathology
Coronary Artery Disease - therapy
Coronary vessels
Diseases of the cardiovascular system
Electrocardiography
Female
Heart
Humans
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical imaging
Medical sciences
Middle Aged
Myocardial Infarction - diagnosis
Myocardial Infarction - diagnostic imaging
Myocardial Infarction - physiopathology
Myocardial Infarction - therapy
Prospective Studies
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Referral and Consultation
Risk Factors
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Summary:This study sought to determine the prevalence as well as clinical and electrocardiographic correlates of patients referred for primary percutaneous coronary intervention (PCI) who had angiographically normal coronary arteries. Data for 690 consecutive patients with ST-elevation myocardial infarction (STEMI) referred for primary PCI within a metropolitan area health service were reviewed. Characteristics of patients with angiographically normal coronary arteries (n = 87; 13%) were compared with patients with angiographically shown culprit lesions (control group; n = 594). Nine patients with significant coronary disease, but no identifiable culprit lesion, were excluded. Electrocardiograms (ECGs) from both groups were reviewed by 2 cardiologists blinded to angiographic findings. Patients in the normal coronaries group were younger and had fewer risk factors. On expert review of ECGs, 55% of patients in the normal coronaries group had ST-elevation criteria for STEMI (vs 93% in the control group; p
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2008.03.031