The Role of Mitral Annular Calcification in Predicting One-Month Mortality in Patients with STEMI Undergoing Primary Percutaneous Coronary Intervention

Authors : Ufuk Sadık CEYLAN, Can Yücel KARABAY

Pages : 528-533

Doi:10.31067/acusaglik.1344156

View : 46 | Download : 58

Publication Date : 2023-10-01

Article Type : Research Paper

Abstract :Purpose: Numerous cardiovascular disorders have been related to mitral annular calcification insert ignore into journalissuearticles values(MAC);. This study looked at the effects of mitral annular calcification on one-month mortality in ST-segment elevation myocardial infarction insert ignore into journalissuearticles values(STE-MI); patients. Methods: This single-center, retrospective observational study was carried out between 2017 and 2021. The study included 1541 patients who presented to the Dr. Siyami Ersek Hospital emergency department with a diagnosis of STE-MI and underwent primary percutaneous intervention. The patients\` clinical and demographic characteristics were investigated. Images taken during percutaneous intervention using angiography were used to assess the presence of MAC in patients. According to death, the patients were split into two groups, and a statistical analysis was done. Results: The median age of 1541 STE-MI patients included in the study was 59 years insert ignore into journalissuearticles values(51, 68); and 78% were male. While MAC was present in 134 patients insert ignore into journalissuearticles values(8.7%); in the whole group, the frequency of MAC was significantly higher in the deceased compared to the survivors insert ignore into journalissuearticles values(19% vs. 7.8%, p<0.001);. The presence of MAC insert ignore into journalissuearticles values(OR = 2.84, 95% CI 1.68-4.63, p<0.001); was associated with death. In multivariable analysis hypertension insert ignore into journalissuearticles values(OR = 1.6, 95% CI 1.02-2.54, p = 0.043);, platelet count insert ignore into journalissuearticles values(OR = 1, 95% CI 1.00-1.01, p = 0.02);, LVEF insert ignore into journalissuearticles values(OR = 0.98, 95% CI 0.96-); 1.00, p = 0.024); and MAC insert ignore into journalissuearticles values(OR = 2.68, 95% CI 1.55- 4.50, p<0.001); were found to be independent predictors of death. Conclusion: In STE-MI patients, increased one-month mortality is strongly correlated with the presence of MAC during fluoroscopic primary percutaneous intervention.
Keywords : Mortality, Mitral valve, ST Elevation Myocardial Infarction