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The Journal of Tehran University Heart Center، جلد ۱۷، شماره ۳، صفحات ۱۰۳-۱۱۱
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عنوان انگلیسی The Pragmatic Role of COVID-19 on the Thrombus Grade of Patients with Contemporary ST-Segment-Elevation Myocardial Infarction
چکیده انگلیسی مقاله Background There are limited data about the clinical outcomes of patients with coronavirus disease 2019 (COVID-19) who present with ST-Segment-Elevation Myocardial Infarction (STEMI). Objectives The aim of this multicenter study is to compare baseline clinical and procedural data between the case group (STEMI patients with COVID-19) and the control group (STEMI patients before the COVID-19 pandemic) and to determine in-hospital infarct-related artery thrombus grades; major adverse cardio-cerebrovascular events (MACCE), defined as a composite of deaths from any cause (cardiovascular and non-cardiovascular), nonfatal strokes, and stent thrombosis. Results There were no significant differences between two groups regarding baseline characteristics. Primary PCI was performed in 81% of the case group and 97% of the control group (P=0.043), and primary CABG was performed in 7% of the case group and 1.4% of the control group (P=0.04). The number of successful PCI procedures (final TIMI flow grade III) was significantly lower in the case group (66.5% vs 93%; P=0.0). The baseline thrombus grade before wire crossing was not statistically significantly different between the 2 groups. The summation of thrombus grades IV and V was 75% in the case group and 82% in the control group (P=0.43). The rate of MACCE was 17% and 2.1% in the case and control groups, correspondingly (P=0.002). Conclusions In our study, the thrombus grade had no significant differences between the case group and the control group; however, the in-hospital rates of the no-reflow phenomenon, periprocedural MI, mechanical complications, and MACCE were statistically significantly higher in the case group.
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نویسندگان مقاله | Ata Firouzi
Cardiovascular intervention research center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.


| Zahra Hosseini
Cardiovascular intervention research center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.


| Zeinab Norouzi
Cardiovascular intervention research center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.


| Zohre Hosseini
Cardiovascular intervention research center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.


| Afshin Amirpour
Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.


| Hamed Talakoob
Cardiovascular Research Center, Alborz University of Medical Sciences, Karaj, Iran.


| Arash Amin
Lorestan Heart Center (Madani Hospital), Lorestan University of Medical Sciences, Khorram Abad, Lorestan, Iran.


| Abbas Soleimani
Sina Hospital, Tehran University of Medical Sciences (TUMS), Thran, Iran.


| Nasrolah Moradifar
Lorestan Heart Center (Madani Hospital), Lorestan University of Medical Sciences, Khorram Abad, Lorestan, Iran.


| Shahrokh Karbalai
Sina Hospital, Tehran University of Medical Sciences (TUMS), Thran, Iran.


| Mohammadhosseini Mozafarybazargani
Cardiovascular Research Center, Alborz University of Medical Sciences, Karaj, Iran.


| Hamidreza Hekmat
Ziaeian Hospital, International Campus, Tehran University of Medical Sciences, Tehran, Iran.


| Majid Maleki
Cardiovascular intervention research center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.


| Parham Sadeghipour
Cardiovascular intervention research center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.


| Seyedeh Mahnaz Mirbod
Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.


| Mina Ghorbanpoor Kohnaki
cardiovascular intervention research center, rajaie cardiovascular medical and research center


| Hooman Bakhshandeh
Cardiovascular intervention research center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.


| Masoomeh KalaeiNia
Cardiovascular intervention research center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.


| Fatemeh Sadat Habibizade
Cardiovascular intervention research center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.


| Sara Iraninejad
Cardiovascular intervention research center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.


| Mohammadreza Baay
Cardiovascular intervention research center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.


| Ehsan Khalilipur
Cardiovascular intervention research center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.
نشانی اینترنتی https://jthc.tums.ac.ir/index.php/jthc/article/view/1564
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