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Blush Grade as a Strong Outcome
Predictor in Acute Myocardial Infarction
Treated with Direct Angioplasty

Tarbine, Sergio; Zanuttini, Daniel;
Freitas, Marcelo; Gama, Ricardo;
Lerner, Sergey; Scorsin, Marcio;
Souza, Ademar; Franchetti, Marcos;
Medeiros, Marco; Costantini, Costantino.

Clínica cardiológyca C. Costantini, Curitiba, Paraná, Brazil

Background: Angiographic myocardial blush grade (MGB) has lately been considered as important as final TIMI flow in predicting direct angioplasty (PTCA) outcomes.

Methods: From June 1998 through March 2001 125 patients (pts), 26.4 female, mean age 65.5+/-33.2 yrs and symptom duration < 12 hs., underwent direct PTCA. Admission Killip class was III, IV, and non standard (CPR-A-V block-malignant arrhythmia) in 16.8%. Anterior wall MI was present in 43.2%, and 67% had multivessel ds. Admission TIMI flow grade 0 was 62.5%. After PTCA with balloon (21.4%) or stenting (78.6%) TIMI 3 flows were restored in 91.2% with 3.82+/-3.32 mm mean final MLD. Regarding final BMG, it was grade 0 in 9.33%, 1 in 14.6%, 2 in 20%, and 3 in 56%.

Results: Table 1

Conclusion: Myocardial blush grade showed in tis cohort of pts.good correlation with clinical outcomes being strongly associated with in hospital mortality (MBG 0-1 20%). Further studies are necessary to demonstrate the real value of myocardial blush as a predictor of clinical outcomes.

 

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2nd Virtual Congress of Cardiology

Dr. Florencio Garófalo
Steering Committee
President
Dr. Raúl Bretal
Scientific Committee
President
Dr. Armando Pacher
Technical Committee - CETIFAC
President
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Copyright© 1999-2001 Argentine Federation of Cardiology
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