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Non-culprit left main coronary artery disease in acute myocardial infarction complicated by cardiogenic shock
DC Field | Value | Language |
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dc.contributor.author | 안철민 | - |
dc.date.accessioned | 2024-03-22T06:05:21Z | - |
dc.date.available | 2024-03-22T06:05:21Z | - |
dc.date.issued | 2023-03 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/198386 | - |
dc.description.abstract | OBJECTIVES: We evaluated the clinical impact of residual non-culprit left main coronary artery disease (LMCAD) on prognosis in patients undergoing emergent percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI) complicated by cardiogenic shock (CS). METHODS: A total of 429 patients who underwent PCI for AMI complicated by CS was enrolled from 12 centers in the Republic of Korea. The patients were divided into two groups according to presence of non-culprit LMCAD or not: the LMCAD non-culprit group (n = 43) and the no LMCAD group (n = 386). Primary outcome was major adverse cardiac event (MACE, defined as a composite of cardiac death, myocardial infarction, or repeat revascularization). Propensity score matching analysis was performed to reduce selection bias and potential confounding factors. RESULTS: During a 12-month follow-up, a total of 168 MACEs occurred (LMCAD non-culprit group, 17 [39.5%] vs. no LMCAD group, 151 [39.1%]). Multivariate analysis revealed no significant difference in the incidence of MACE at 12 months between the LMCAD non-culprit and no LMCAD groups (adjusted hazard ratio [HR] 0.97, 95% confidence interval [CI] 0.58 to 1.62, p = 0.901). After propensity score matching, the incidence of MACE was still similar between the two groups (HR 0.64; 95% CI 0.33 to 1.23; p = 0.180). The similarity of MACEs between the two groups was consistent across a variety of subgroups. CONCLUSIONS: After adjusting for baseline differences, residual non-culprit LMCAD does not appear to increase the risk of MACEs at 12 months in patients undergoing emergent PCI for AMI complicated by CS. Copyright: © 2023 Park et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Public Library of Science | - |
dc.relation.isPartOf | PLOS ONE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Coronary Artery Disease* / complications | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Myocardial Infarction* / complications | - |
dc.subject.MESH | Percutaneous Coronary Intervention* / adverse effects | - |
dc.subject.MESH | Prognosis | - |
dc.subject.MESH | Shock, Cardiogenic / complications | - |
dc.subject.MESH | Shock, Cardiogenic / epidemiology | - |
dc.subject.MESH | Treatment Outcome | - |
dc.title | Non-culprit left main coronary artery disease in acute myocardial infarction complicated by cardiogenic shock | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학교실) | - |
dc.contributor.googleauthor | Ik Hyun Park | - |
dc.contributor.googleauthor | Woo Jin Jang | - |
dc.contributor.googleauthor | Ju Hyeon Oh | - |
dc.contributor.googleauthor | Jeong Hoon Yang | - |
dc.contributor.googleauthor | Young Bin Song | - |
dc.contributor.googleauthor | Joo-Yong Hahn | - |
dc.contributor.googleauthor | Seung-Hyuk Choi | - |
dc.contributor.googleauthor | Hyeon-Cheol Gwon | - |
dc.contributor.googleauthor | Chul-Min Ahn | - |
dc.contributor.googleauthor | Cheol Woong Yu | - |
dc.contributor.googleauthor | Hyun-Joong Kim | - |
dc.contributor.googleauthor | Jang-Whan Bae | - |
dc.contributor.googleauthor | Sung Uk Kwon | - |
dc.contributor.googleauthor | Hyun-Jong Lee | - |
dc.contributor.googleauthor | Wang Soo Lee | - |
dc.contributor.googleauthor | Jin-Ok Jeong | - |
dc.contributor.googleauthor | Sang-Don Park | - |
dc.identifier.doi | 10.1371/journal.pone.0276711 | - |
dc.contributor.localId | A02269 | - |
dc.relation.journalcode | J02540 | - |
dc.identifier.eissn | 1932-6203 | - |
dc.identifier.pmid | 36996239 | - |
dc.contributor.alternativeName | Ahn, Chul-Min | - |
dc.contributor.affiliatedAuthor | 안철민 | - |
dc.citation.volume | 18 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | e0276711 | - |
dc.identifier.bibliographicCitation | PLOS ONE, Vol.18(3) : e0276711, 2023-03 | - |
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