Prognostic Implications of High-Degree Atrio-Ventricular Block in Patients with Acute Myocardial Infarction in the Contemporary Era

Background: High-degree atrioventricular block (HAVB) is a known complication of ST-segment elevation myocardial infarction (STEMI). We aimed to determine the prevalence and prognostic impact of HAVB in a contemporary cohort of STEMI. Methods: Data were collected from the DIAMANTE registry that incl...

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Autores: Velásquez Rodríguez, Jesús, Vicent, Lourdes, Díez Delhoyo, Felipe, Valero Masa, María Jesús, Bruña, Vanesa, Sousa Casasnovas, Iago, Juárez Fernández, Miriam, Fernández-Avilés Díaz, Francisco Jesús, Martínez-Sellés D Oliveira Soares, Manuel
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universidad Complutense de Madrid (UCM)
Repositorio:Docta Complutense
Idioma:inglés
OAI Identifier:oai:docta.ucm.es:20.500.14352/103551
Acceso en línea:https://hdl.handle.net/20.500.14352/103551
Access Level:acceso abierto
Palabra clave:616.12
Myocardial infarction
Prognosis
High-degree atrioventricular block
Cardiología
3205.01 Cardiología
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spelling Prognostic Implications of High-Degree Atrio-Ventricular Block in Patients with Acute Myocardial Infarction in the Contemporary EraVelásquez Rodríguez, JesúsVicent, LourdesDíez Delhoyo, FelipeValero Masa, María JesúsBruña, VanesaSousa Casasnovas, IagoJuárez Fernández, MiriamFernández-Avilés Díaz, Francisco JesúsMartínez-Sellés D Oliveira Soares, Manuel616.12Myocardial infarctionPrognosisHigh-degree atrioventricular blockCardiología3205.01 CardiologíaBackground: High-degree atrioventricular block (HAVB) is a known complication of ST-segment elevation myocardial infarction (STEMI). We aimed to determine the prevalence and prognostic impact of HAVB in a contemporary cohort of STEMI. Methods: Data were collected from the DIAMANTE registry that included STEMI patients admitted to our cardiac intensive care unit treated with urgent reperfusion. We studied the clinical characteristics and evolution in patients with and without HAVB at admission. Results: From 1109 consecutive patients, HAVB was documented in 95 (8.6%). The right coronary artery was the culprit vessel in 84 patients with HAVB (88.4%). The independent predictors of HAVB were: male sex (OR 1.9, 95% CI 1.2–2.9), age (OR 1.03, 95% CI 1.01–1.05), involvement of right coronary artery (OR 12.4, 95% CI 7.6–20.2), and creatinine value (OR 1.5, 95% CI 1.1–2.0). A transient percutaneous pacemaker was used in 37 patients with HAVB (38.9%). Patients with HAVB had higher mortality that patients without HAVB (15.8% vs. 4.1%, p < 0.001); however, in multivariate analysis, HAVB was not an independent predictor of in-hospital mortality. Conclusions: HAVB was seen in 9% of STEMI patients and was particularly frequent in elderly males with renal failure. Patients with HAVB had a poor prognosis during hospitalization, but HAVB was not an independent predictor of in-hospital mortality.MDPIUniversidad Complutense de Madrid20232023-07-2220232023-07-22journal articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.14352/103551reponame:Docta Complutenseinstname:Universidad Complutense de Madrid (UCM)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:docta.ucm.es:20.500.14352/1035512026-06-02T12:44:21Z
dc.title.none.fl_str_mv Prognostic Implications of High-Degree Atrio-Ventricular Block in Patients with Acute Myocardial Infarction in the Contemporary Era
title Prognostic Implications of High-Degree Atrio-Ventricular Block in Patients with Acute Myocardial Infarction in the Contemporary Era
spellingShingle Prognostic Implications of High-Degree Atrio-Ventricular Block in Patients with Acute Myocardial Infarction in the Contemporary Era
Velásquez Rodríguez, Jesús
616.12
Myocardial infarction
Prognosis
High-degree atrioventricular block
Cardiología
3205.01 Cardiología
title_short Prognostic Implications of High-Degree Atrio-Ventricular Block in Patients with Acute Myocardial Infarction in the Contemporary Era
title_full Prognostic Implications of High-Degree Atrio-Ventricular Block in Patients with Acute Myocardial Infarction in the Contemporary Era
title_fullStr Prognostic Implications of High-Degree Atrio-Ventricular Block in Patients with Acute Myocardial Infarction in the Contemporary Era
title_full_unstemmed Prognostic Implications of High-Degree Atrio-Ventricular Block in Patients with Acute Myocardial Infarction in the Contemporary Era
title_sort Prognostic Implications of High-Degree Atrio-Ventricular Block in Patients with Acute Myocardial Infarction in the Contemporary Era
dc.creator.none.fl_str_mv Velásquez Rodríguez, Jesús
Vicent, Lourdes
Díez Delhoyo, Felipe
Valero Masa, María Jesús
Bruña, Vanesa
Sousa Casasnovas, Iago
Juárez Fernández, Miriam
Fernández-Avilés Díaz, Francisco Jesús
Martínez-Sellés D Oliveira Soares, Manuel
author Velásquez Rodríguez, Jesús
author_facet Velásquez Rodríguez, Jesús
Vicent, Lourdes
Díez Delhoyo, Felipe
Valero Masa, María Jesús
Bruña, Vanesa
Sousa Casasnovas, Iago
Juárez Fernández, Miriam
Fernández-Avilés Díaz, Francisco Jesús
Martínez-Sellés D Oliveira Soares, Manuel
author_role author
author2 Vicent, Lourdes
Díez Delhoyo, Felipe
Valero Masa, María Jesús
Bruña, Vanesa
Sousa Casasnovas, Iago
Juárez Fernández, Miriam
Fernández-Avilés Díaz, Francisco Jesús
Martínez-Sellés D Oliveira Soares, Manuel
author2_role author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidad Complutense de Madrid
dc.subject.none.fl_str_mv 616.12
Myocardial infarction
Prognosis
High-degree atrioventricular block
Cardiología
3205.01 Cardiología
topic 616.12
Myocardial infarction
Prognosis
High-degree atrioventricular block
Cardiología
3205.01 Cardiología
description Background: High-degree atrioventricular block (HAVB) is a known complication of ST-segment elevation myocardial infarction (STEMI). We aimed to determine the prevalence and prognostic impact of HAVB in a contemporary cohort of STEMI. Methods: Data were collected from the DIAMANTE registry that included STEMI patients admitted to our cardiac intensive care unit treated with urgent reperfusion. We studied the clinical characteristics and evolution in patients with and without HAVB at admission. Results: From 1109 consecutive patients, HAVB was documented in 95 (8.6%). The right coronary artery was the culprit vessel in 84 patients with HAVB (88.4%). The independent predictors of HAVB were: male sex (OR 1.9, 95% CI 1.2–2.9), age (OR 1.03, 95% CI 1.01–1.05), involvement of right coronary artery (OR 12.4, 95% CI 7.6–20.2), and creatinine value (OR 1.5, 95% CI 1.1–2.0). A transient percutaneous pacemaker was used in 37 patients with HAVB (38.9%). Patients with HAVB had higher mortality that patients without HAVB (15.8% vs. 4.1%, p < 0.001); however, in multivariate analysis, HAVB was not an independent predictor of in-hospital mortality. Conclusions: HAVB was seen in 9% of STEMI patients and was particularly frequent in elderly males with renal failure. Patients with HAVB had a poor prognosis during hospitalization, but HAVB was not an independent predictor of in-hospital mortality.
publishDate 2023
dc.date.none.fl_str_mv 2023
2023-07-22
2023
2023-07-22
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.14352/103551
url https://hdl.handle.net/20.500.14352/103551
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:Docta Complutense
instname:Universidad Complutense de Madrid (UCM)
instname_str Universidad Complutense de Madrid (UCM)
reponame_str Docta Complutense
collection Docta Complutense
repository.name.fl_str_mv
repository.mail.fl_str_mv
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