Variable | 1st rSS Tertile (≤4) (n = 51) | 2nd rSS Tertile (4 – 12) (n = 55) | 3rd rSS Tertile (> 12) (n = 43) | P value |
Agea | 55.41 (±11.17) 58 (47 – 64) | 60.62 (±10.34) 61 (55 – 66) | 65.07 (±12.25) 64 (55 – 71) | 0.002* |
Sexb | Male: 38 (74.5%) | Male: 36 (65.5%) | Male: 28 (65.1%) | 0.5 |
BMIb | 28.18 (±4.85) 27.7 (24.43 – 30.75) | 28 (±3.86) 27.7 (25.7 – 29.4) | 27.2 (±4.69) 26.7 (23.4 – 29.4) | 0.6 |
Dyslipidemia$ | 25 (49%) | 33 (60%) | 25 (58.1%) | 0.5 |
Smokingc | 26 (51%) | 25 (45.5%) | 16 (37.2%) | 0.5 |
Hypertensionc | 22 (43.1%) | 25 (45.5%) | 20 (46.5%) | 0.9 |
Diabetesc | 20 (39.2%) | 20 (36.4%) | 12 (27.9%) | 0.5 |
In-Hospital Findings | ||||
Pain to Presentation Time (Hours) b | 7.12 (± 5.71) 6 (3.5 – 10) | 7.32 (± 6.68) 6 (2 – 10) | 6.56 (± 5.77) 5 (3 – 8) | 0.8 |
STEMI/NSTEMIc | 35 (68.6%)/16 (31.4%) | 43 (78.2%)/12 (21.8%) | 39 (90.7%)/4 (9.3%) | 0.034* |
KILLIP Classificationc | Class I: 45 (88.2%) Class II: 3 (5.9%) Class III: 1 (2%) Class IV: 2 (3.9%) | Class I: 42 (76.4%) Class II: 11 (20%) Class III: 1 (1.8%) Class IV: 1 (1.8%) | Class I: 38 (88.4%) Class II: 1 (2.3%) Class IV: 4 (9.3%) | 0.024* |
ST Resolutionc (n = 117) | N/A: 2 (5.7%) < 30%: 1 (2.9%) 30-70%: 23 (65.7%) > 70%: 9 (25.7%) (n = 35) | < 30%: 7 (16.3%) 30-70%: 22 (51.2%) > 70%: 14 (32.6%) (n = 43) | N/A: 5 (12.8%) < 30%: 2 (5.1%) 30-70%: 25 (64.1%) > 70%: 7 (17.9%) (n = 39) | 0.037* |
Significant ST Resolutionc (n = 117) | 39 (90.7%) | 37 (84.1%) | 24 (80%) | 0.4 |
Echocardiography | ||||
Ejection Fraction %a | 52.47 (± 10.31) 53 (44 – 60) | 52.64 (± 10.64) 54 (44 – 63) | 50.13 (± 11.95) 50 (41 – 62) | 0.5 |
Myocardial Wall Motion Score Indexb | 1.43 (± 0.37) 1.63 (1.13 – 1.63) | 1.39 (± 0.29) 1.375 (1.12 – 1.63) | 1.463 (± 0.57) 1.38 (1.25 – 1.69) | 0.7 |
GRACE Scores | ||||
In-Hospital GRACE Scoreb | 137.45 (± 22.42) 136 (123 – 154) | 151.82 (± 27.81) 148 (133 – 168) | 161.79 (± 35.44) 156 (139 – 177) | 0.001* |
Post-Discharge GRACE Scoreb | 105.14 (± 21.19) 106 (90.5 – 121.5) | 120.15 (± 22.72) 119 (103 - 131) | 126.67 (± 27.78) 123 (105 – 151) | < 0.001* |
Laboratory Data | ||||
Total CK on Admissionb | 1395 (± 1930.71) 559 (148 – 1866) | 1344.89 (± 1673.4) 548 (203 – 1717) | 1419.44 (± 1887.02) 964 (359.25 – 1816.5) | 0.4 |
Peak CK valueb | 1768.09 (± 2070.53) 879 (258 – 2446) | 1797.66 (± 2066.65) 1079 (330 – 1986) | 1835.5 (± 1898.92) 1252.5 (619 – 2783) | 0.4 |
CK-MB on Admissionb | 168.75 (± 203.47) 80.50 (36.25 – 241.75) | 143.18 (± 150.74) 71.5 (38 – 199.75) | 256.46 (± 411.99) 135 (46 – 269) | 0.2 |
Peak CK-MB valueb | 195.58 (± 204.91) 116.50 (53.25 – 286.25) | 182.18 (± 186.42) 112 (52 – 247.75) | 301.89 (± 407.24) 193 (93 – 325) | 0.4 |
Troponinb | 7.55 (± 12.77) 1.59 (0.35 – 10.8) | 14.57 (± 31.04) 2.9 (0.66 – 12.83) | 22.001 (± 25.2) 7.11 (2.35 – 50) | 0.2 |
S. Urea on Admissionb | 5.8 (± 2.9) 5 (4 – 7) | 6.289 (± 2.75) 6 (4.5 – 7) | 6.3 (± 3.1) 6 (5 – 7) | 0.3 |
S. Creatinine on Admissionb | 0.88 (± 0.26) 0.9 (0.7 – 1) | 0.9369 (±0.28) 0.9 (0.8 – 1.1) | 1.119 (± 0.76) 1 (0.7 – 1.3) | 0.1 |
Creatinine Clearancea | 105.67 (± 28.43) 100 (84 – 128) | 100.24 (± 31.23) 104 (75.5 – 122.75) | 81.03 (± 36.7) 84 (47 – 110.5) | 0.018* |
Angiographic Data | ||||
Dominancec | Right: 47 (92.2%) Left: 4 (7.8%) | Right: 48 (87.3%) Left: 7 (12.7%) | Right: 41 (95.3%) Left: 2 (4.7%) | 0.4 |
Number of Initial Lesionsb | 2.27 (± 0.49) | 3.22 (± 1.12) | 3.91 (± 1.62) | < 0.001* |
Number of Residual Lesionsb | 0.55 (± 0.54) | 2.05 (± 0.91) | 3.19 (± 1.62) | < 0.001* |
Culprit Vesselc | RCA: 10 (19.6%) LMCA: 1 (2%) LAD: 32 (62.7%) LCx: 8 (15.7%) | RCA: 18 (32.7%) LM: 0 (0%) LAD: 28 (50.9%) LCx: 9 (16.4%) | RCA: 24 (55.8%) LM: 1 (2.3%) LAD: 12 (27.9%) LCx: 6 (14%) | 0.009* |
Baseline Culprit TIMI Flowc | 0-1: 26 (51%) 2-3: 25 (49%) | 0-1: 37 (67.3%) 2-3: 18 (32.7%) | 0-1: 32 (74.4%) 2-3: 11 (25.6%) | 0.049* |
Post-procedural Culprit TIMI Flowc | 0-1: 0 (0%) 2-3: 51 (100%) | 0-1: 0 (0%) 2-3: 55 (100%) | 0-1: 4 (9.3%) 2-3: 39 (90.7%) | 0.007* |
Cases with LMCA Lesionsc | 1 (2%) | 0 (0%) | 8 (18.6%) | < 0.001* |
Proximal RCAc | 13 (25.5%) | 19 (34.5%) | 23 (53.5%) | 0.018* |
Proximal LADc | 22 (43.1%) | 21 (38.2%) | 26 (60.5%) | 0.08 |
Proximal LCxc | 11 (21.6%) | 19 (34.5%) | 27 (62.8%) | < 0.001* |
Staged PCIc | 15 (29.4%) | 12 (21.8%) | 3 (7%) | 0.024* |
Interval Between PCI Sessions in Monthsb | 4.3 (± 3.3) 3 (3 – 5) | 6.25 (± 3.72) 6 (3 – 10) | 3.33 (± 0.58) 3 (N/A) | 0.3 |
bSSb | 17.333 (± 6.07) 18 (12 – 22) | 22.191 (± 7.19) 22 (16 – 27) | 32.884 (± 11.96) 29.5 (24.5 – 39) | < 0.001* |
SRI %b | 91.34% (± 10.67) 94.44% (84.62 – 100) | 57.429% (± 18.96) 59.09% (50 – 71.43) | 28.93% (± 16.7) 29.73 (16.87 – 43.48) | < 0.001* |
Number of Stents Usedb | 2.02 (± 0.91) | 2.02 (± 1.03) | 1.42 (± 0.82) | 0.021* |
In-Hospital Events | ||||
In-Hospital Composite MACEc | 4 (7.8%) | 10 (18.2%) | 8 (18.6%) | 0.2 |
In-Hospital Heart Failurec | 1 (2%) | 10 (18.2%) | 2 (4.7%) | 0.005* |
In-Hospital Re-Infarctionc | 0 (0%) | 0 (0%) | 1 (2.3%) | 0.3 |
In-Hospital TLRc | 0 (0%) | 0 (0%) | 1 (2.3%) | 0.3 |
In-Hospital Deathc | 2 (3.9%) | 0 (0%) | 5 (11.6%) | 0.024* |
Non-MACE In-Hospital Adverse Events | ||||
In-Hospital Bleedingc | 1 (2%) | 0 (0%) | 0 (0%) | 0.6 |
Acute Kidney Injuryc | 3 (6.1%) | 5 (9.1%) | 3 (7.7%) | 0.9 |
Follow-Up Events | ||||
Variable | 1st rSS Tertile (≤4) (n = 35) | 2nd rSS Tertile (4 – 12) (n = 42) | 3rd rSS Tertile (> 12) (n = 37) | P value |
Follow-Up Cumulative MACEc | 7 (20%) | 14 (33.3%) | 18 (48.6%) | 0.037* |
Overall Cumulative Adverse Events | ||||
Deathc | 4 (12.1%) | 3 (8.8%) | 16 (43.2%) | < 0.001* |
Heart Failurec | 1 (2.9%) | 10 (23.8%) | 2 (5.4%) | 0.006* |
Non-Fatal MIc | 1 (2.9%) | 1 (2.4%) | 6 (16.2%) | 0.029* |
TLRc | 4 (11.4%) | 4 (9.5%) | 2 (5.4%) | 0.7 |