Determinants of coronary angiography in Non-ST-elevation myocardial infarction with low ejection fraction

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dc.contributor.authorEmren, Sadık Volkan
dc.contributor.authorEmren, Zeynep Yapan
dc.contributor.authorErseçgin, Ahmet
dc.contributor.authorŞenöz, Oktay
dc.date.accessioned2023-03-22T19:47:24Z
dc.date.available2023-03-22T19:47:24Z
dc.date.issued2022
dc.departmentBelirleneceken_US
dc.description.abstractObjective: To investigate the clinical and demographic factors affecting the selection of angiography in patients with severe left ventricular systolic dysfunction (SLVSD, ejection fraction lower than 30%) developing non-ST-segment elevation (NSTEMI). Study Design: Descriptive study. Place and Duration of Study: This study was conducted at the Department of Cardiology, School of Medicine, Izmir Katip Celebi University, Izmir, Turkey, between March 2018 and March 2021. Methodology: Patients with SLVSD (Ejection fraction <30%) developing Clinical and demographic factors were compared between the patients who were or were not decided for angiography. Associated factors for the decision of angiography were evaluated. Results: Overall, 68 (46%) out of 147 patients underwent coronary angiography. Angiography led to coronary artery bypass grafting (CABG) in 14 (21%), percutaneous coronary intervention (PCI) in 30 (44%), and medical treatment in 24 (35%). Among the patients who decided for CABG, 10 (71%) underwent surgery. In multivariate analysis; Killip score >= 2 [Odds ratio (OR) :33.85, 95% Confidence Interval (CI): 5.03-227.405 p<0.001], lower education level (OR: 17.66, 95% CI: 2.25-138.44, p=0.006), anaemia (OR: 10.60, 95% CI: 2.07-54.28, p=0.005), age >= 65 years (OR: 7.124, 95% CI: 1.33-38.12, p=0.02), and PCI history (OR: 0.132, 95% CI: 0.02-0.84, p=0.032) were associated factors with the decision of only medical treatments instead of angiography. Conclusion: Demographic factors such as age and education level and clinical factors such as decompensation, PCI history, and anaemia significantly affect the decision of angiography in the patients with SLVSD and NSTEMI.en_US
dc.identifier.doi10.29271/jcpsp.2022.08.975
dc.identifier.endpage979en_US
dc.identifier.issn1022-386X
dc.identifier.issn1681-7168
dc.identifier.issue8en_US
dc.identifier.pmid35932118en_US
dc.identifier.scopus2-s2.0-85135598823en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage975en_US
dc.identifier.urihttps://doi.org/10.29271/jcpsp.2022.08.975
dc.identifier.urihttps://hdl.handle.net/20.500.14034/682
dc.identifier.volume32en_US
dc.identifier.wosWOS:000841251300003en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherColl Physicians & Surgeons Pakistanen_US
dc.relation.journalJcpsp-Journal Of The College Of Physicians And Surgeons Pakistanen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectHeart failureen_US
dc.subjectNSTEMIen_US
dc.subjectRevascularisationen_US
dc.subjectSevere left ventricular systolic dysfunctionen_US
dc.subjectEjection fractionen_US
dc.subjectHeart-Failureen_US
dc.titleDeterminants of coronary angiography in Non-ST-elevation myocardial infarction with low ejection fractionen_US
dc.typeArticleen_US

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