Effects of endovascular cooling on infarct size in ST-segment elevation myocardial infarction: A patient-level pooled analysis from randomized trials

Document Type

Article

Publication Date

6-1-2018

Publication Title

Journal of interventional cardiology

Keywords

Aged, Female, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Percutaneous Coronary Intervention, Randomized Controlled Trials as Topic, ST Elevation Myocardial Infarction, Tomography, Emission-Computed, Single-Photon

Abstract

OBJECTIVES: This study sought to examine the relationship between temperature at reperfusion and infarct size.

BACKGROUND: Hypothermia consistently reduces infarct size when administered prior to reperfusion in animal studies, however, clinical results have been inconsistent.

METHODS: We performed a patient-level pooled analysis from six randomized control trials of endovascular cooling during primary percutaneous coronary intervention (PCI) for ST-segment elevation myocardial infarction (STEMI) in 629 patients in which infarct size was assessed within 1 month after randomization by either single-photon emission computed tomography (SPECT) or cardiac magnetic resonance imaging (cMR).

RESULTS: In anterior infarct patients, after controlling for variability between studies, mean infarct size in controls was 21.3 (95%CI 17.4-25.3) and in patients with hypothermia

CONCLUSIONS: The present study, drawn from a patient-level pooled analysis of six randomized trials of endovascular cooling during primary PCI in STEMI, showed a significant reduction in infarct size in patients with anterior STEMI who were cooled to

Medical Subject Headings

Aged; Female; Humans; Magnetic Resonance Imaging; Male; Middle Aged; Percutaneous Coronary Intervention; Randomized Controlled Trials as Topic; ST Elevation Myocardial Infarction; Tomography, Emission-Computed, Single-Photon

PubMed ID

29243292

Volume

31

Issue

3

First Page

269

Last Page

276

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