Evaluation of Arterial Stiffness for Predicting Future Cardiovascular Events in Patients with ST Segment Elevation and Non-ST Segment Elevation Myocardial Infarction
Background. Arterial stiffness parameters in patients who experienced MACE after acute MI have not been studied sufficiently. We investigated arterial stiffness parameters in patients with ST segment elevation (STEMI) and non-ST segment elevation myocardial infarction (NSTEMI). Methods. Ninety-four...
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2013-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1155/2013/792693 |
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| author | Oguz Akkus Durmus Yildiray Sahin Abdi Bozkurt Kamil Nas Kazım Serhan Ozcan Miklós Illyés Ferenc Molnár Serafettin Demir Mücahit Tüfenk Esmeray Acarturk |
| author_facet | Oguz Akkus Durmus Yildiray Sahin Abdi Bozkurt Kamil Nas Kazım Serhan Ozcan Miklós Illyés Ferenc Molnár Serafettin Demir Mücahit Tüfenk Esmeray Acarturk |
| author_sort | Oguz Akkus |
| collection | DOAJ |
| description | Background. Arterial stiffness parameters in patients who experienced MACE after acute MI have not been studied sufficiently. We investigated arterial stiffness parameters in patients with ST segment elevation (STEMI) and non-ST segment elevation myocardial infarction (NSTEMI). Methods. Ninety-four patients with acute MI (45 STEMI and 49 NSTEMI) were included in the study. Arterial stiffness was assessed noninvasively by using TensioMed Arteriograph. Results. Arterial stiffness parameters were found to be higher in NSTEMI group but did not achieve statistical significance apart from pulse pressure (P=0.007). There was no significant difference at MACE rates between two groups. Pulse pressure and heart rate were also significantly higher in MACE observed group. Aortic pulse wave velocity (PWV), aortic augmentation index (AI), systolic area index (SAI), heart rate, and pulse pressure were higher; ejection fraction, the return time (RT), diastolic reflex area (DRA), and diastolic area index (DAI) were significantly lower in patients with major cardiovascular events. However, PWV, heart rate, and ejection fraction were independent indicators at development of MACE. Conclusions. Parameters of arterial stiffness and MACE rates were similar in patients with STEMI and NSTEMI in one year followup. The independent prognostic indicator aortic PWV may be an easy and reliable method for determining the risk of future events in patients hospitalized with acute MI. |
| format | Article |
| id | doaj-art-52adc36ce64e4148ab0d20771fe8d313 |
| institution | Kabale University |
| issn | 1537-744X |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-52adc36ce64e4148ab0d20771fe8d3132025-02-03T01:01:51ZengWileyThe Scientific World Journal1537-744X2013-01-01201310.1155/2013/792693792693Evaluation of Arterial Stiffness for Predicting Future Cardiovascular Events in Patients with ST Segment Elevation and Non-ST Segment Elevation Myocardial InfarctionOguz Akkus0Durmus Yildiray Sahin1Abdi Bozkurt2Kamil Nas3Kazım Serhan Ozcan4Miklós Illyés5Ferenc Molnár6Serafettin Demir7Mücahit Tüfenk8Esmeray Acarturk9Sanliurfa Siverek State Hospital, 63600 Sanliurfa, TurkeyDepartment of Cardiology, Adana Numune Training and Research Hospital, Adana, TurkeyDepartment of Cardiology, Faculty of Medicine, Cukurova University, Adana, TurkeyDepartment of Radiology, Szent János Hospital, Budapest, HungarySanliurfa Siverek State Hospital, 63600 Sanliurfa, TurkeyHeart Institute, Faculty of Medicine, University of Pécs, Pécs, HungaryDepartment of Hydrodynamic Systems, Budapest University of Technology and Economics, Budapest, HungaryDepartment of Cardiology, Adana State Hospital, Adana, TurkeyDepartment of Cardiology, Faculty of Medicine, Cukurova University, Adana, TurkeyDepartment of Cardiology, Faculty of Medicine, Cukurova University, Adana, TurkeyBackground. Arterial stiffness parameters in patients who experienced MACE after acute MI have not been studied sufficiently. We investigated arterial stiffness parameters in patients with ST segment elevation (STEMI) and non-ST segment elevation myocardial infarction (NSTEMI). Methods. Ninety-four patients with acute MI (45 STEMI and 49 NSTEMI) were included in the study. Arterial stiffness was assessed noninvasively by using TensioMed Arteriograph. Results. Arterial stiffness parameters were found to be higher in NSTEMI group but did not achieve statistical significance apart from pulse pressure (P=0.007). There was no significant difference at MACE rates between two groups. Pulse pressure and heart rate were also significantly higher in MACE observed group. Aortic pulse wave velocity (PWV), aortic augmentation index (AI), systolic area index (SAI), heart rate, and pulse pressure were higher; ejection fraction, the return time (RT), diastolic reflex area (DRA), and diastolic area index (DAI) were significantly lower in patients with major cardiovascular events. However, PWV, heart rate, and ejection fraction were independent indicators at development of MACE. Conclusions. Parameters of arterial stiffness and MACE rates were similar in patients with STEMI and NSTEMI in one year followup. The independent prognostic indicator aortic PWV may be an easy and reliable method for determining the risk of future events in patients hospitalized with acute MI.http://dx.doi.org/10.1155/2013/792693 |
| spellingShingle | Oguz Akkus Durmus Yildiray Sahin Abdi Bozkurt Kamil Nas Kazım Serhan Ozcan Miklós Illyés Ferenc Molnár Serafettin Demir Mücahit Tüfenk Esmeray Acarturk Evaluation of Arterial Stiffness for Predicting Future Cardiovascular Events in Patients with ST Segment Elevation and Non-ST Segment Elevation Myocardial Infarction The Scientific World Journal |
| title | Evaluation of Arterial Stiffness for Predicting Future Cardiovascular Events in Patients with ST Segment Elevation and Non-ST Segment Elevation Myocardial Infarction |
| title_full | Evaluation of Arterial Stiffness for Predicting Future Cardiovascular Events in Patients with ST Segment Elevation and Non-ST Segment Elevation Myocardial Infarction |
| title_fullStr | Evaluation of Arterial Stiffness for Predicting Future Cardiovascular Events in Patients with ST Segment Elevation and Non-ST Segment Elevation Myocardial Infarction |
| title_full_unstemmed | Evaluation of Arterial Stiffness for Predicting Future Cardiovascular Events in Patients with ST Segment Elevation and Non-ST Segment Elevation Myocardial Infarction |
| title_short | Evaluation of Arterial Stiffness for Predicting Future Cardiovascular Events in Patients with ST Segment Elevation and Non-ST Segment Elevation Myocardial Infarction |
| title_sort | evaluation of arterial stiffness for predicting future cardiovascular events in patients with st segment elevation and non st segment elevation myocardial infarction |
| url | http://dx.doi.org/10.1155/2013/792693 |
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