{"id":10192,"date":"2012-04-22T09:57:45","date_gmt":"2012-04-22T09:57:45","guid":{"rendered":"http:\/\/cardiophile.org\/?p=7059"},"modified":"2023-08-06T17:40:22","modified_gmt":"2023-08-06T12:10:22","slug":"risk-factors-for-periprocedural-myocardial-injury-2","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/risk-factors-for-periprocedural-myocardial-injury-2\/","title":{"rendered":"Risk factors for periprocedural myocardial injury"},"content":{"rendered":"<p><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/MwDDP0_WELY\" title=\"YouTube video player\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" allowfullscreen=\"\"><\/iframe><\/p>\n<h2><span style=\"color: #008000;\">Risk factors for periprocedural myocardial injury<\/span><\/h2>\n<p>Risk factors for periprocedural myocardial injury can be classified into patient related factors, lesion related factors and procedure related factors [1].<\/p>\n<p>Patient related factors include:<\/p>\n<ol>\n<li>The extent of coronary artery disease (multivessel disease increases risk 1.3 to 1.8 fold)<\/li>\n<li>Presence of systemic atherosclerosis<\/li>\n<li>Older age<\/li>\n<li>Comorbidities like renal failure<\/li>\n<li>Unstable angina<\/li>\n<li>Pre procedural CRP elevation<\/li>\n<\/ol>\n<p>The lesion related factors predicting periprocedural myocardial injury are:<\/p>\n<ol>\n<li>Restenotic lesions<\/li>\n<li>Saphenous vein graft disease<\/li>\n<li>Eccentric lesions<\/li>\n<li>Greater plaque burden<\/li>\n<li>Higher thrombus burden<\/li>\n<li>Plaque rupture<\/li>\n<li>Presence of major side branches<\/li>\n<\/ol>\n<p>Procedure related factors were:<\/p>\n<ol>\n<li>Threatened or acute vascular closure<\/li>\n<li>Distal embolisation<\/li>\n<li>No reflow or slow reflow<\/li>\n<li>Need for directional coronary atherectomy<\/li>\n<\/ol>\n<p>In general, more complex procedure would have higher incidence of periprocedural myocardial injury.<\/p>\n<p><span style=\"color: #008000;\"><strong>Reference<\/strong><\/span><\/p>\n<ol>\n<li>Joerg Herrmann. <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/16176941\">Peri-procedural myocardial injury: 2005 update<\/a>. Eur Heart J. 2005 Dec;26(23):2493-519.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Lesion related factors predicting peri procedural myocardial injury: restenotic lesions, SVG disease, eccentric lesions, greater plaque \/ thrombus burden <\/p>\n","protected":false},"author":1,"featured_media":60413,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[18],"tags":[],"class_list":["post-10192","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-angiography-and-interventions"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Risk factors for periprocedural myocardial injury<\/title>\n<meta name=\"description\" content=\"Risk factors for periprocedural myocardial injury can be patient related factors, lesion related factors and procedure related 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