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Iranian Heart Journal، جلد ۲۵، شماره ۲، صفحات ۳۵-۴۶
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عنوان انگلیسی The Predictive Value of the PRECISE-DAPT Score in Patients With ST-Segment-Elevation Myocardial Infarction After Primary Percutaneous Coronary Intervention
چکیده انگلیسی مقاله Background: Recent guidelines recommend the use of the predicting bleeding complications in patients undergoing stent implantation and subsequent dual antiplatelet therapy (PRECISE-DAPT) score for bleeding risk stratification and determining the appropriate duration of DAPT following primary percutaneous coronary intervention (PPCI). Our study aimed to assess the predictive value of the PRECISE-DAPT score for not only bleeding complications but also in-hospital and short-term complications, including major adverse cardiovascular events (MACEs) and no-reflow.   Methods: The study included 241 patients diagnosed with STEMI and eligible for PPCI. The patients were divided into 3 groups according to their PRECISE-DAPT score value: low (<17), intermediate (17–24), and high (≥25) score groups. Finally, in-hospital and short-term (180 d) follow-ups for MACEs, no-reflow, and bleeding complications were done.   Results: In-hospital and short-term complications were higher among the high-score group than in the other groups (P<0.001). The high-score group had lower thrombosis in myocardial infarction (TIMI flowP= 0.001). The PRECISE-DAPT score had good predictive power for in-hospital complications (AUC=0.64) and short-term follow-up MACEs (AUC=0.80; P=0.004 and P<0.001, respectively), demonstrating good sensitivity and specificity of the PRECISE-DAPT score for the prediction of in-hospital complications, no-reflow, bleeding complications, and follow-up MACEs.   Conclusions: The PRECISE-DAPT score had a strong and independent predictive value for in-hospital, short-term MACEs, no-reflow, and bleeding complications among STEMI patients treated with PPCI. (Iranian Heart Journal 2024; 25(2): 35-46)
کلیدواژه‌های انگلیسی مقاله ST-elevation myocardial infarction, PRECISE-DAPT score, MACEs, No-reflow
نویسندگان مقاله Aly Mohamed Tohamy |
Cardiology Department, Faculty of Medicine, Assiut University, Egypt.

Madonna Atef Waheeb |
Cardiology Department, Faculty of Medicine, Assiut University, Egypt.

Hatem Abdel Rahman Helmi |
Cardiology Department, Faculty of Medicine, Assiut University, Egypt.

نشانی اینترنتی http://journal.iha.org.ir/article_193308_d86b5173eca6120829da54497b10620f.pdf
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