Acute Coronary Syndrome Clinical Trial
Official title:
STEMI Versus NSTEMI: a Mono Versus a Multivessel Disease?
The purpose of this study is to assess differences in the risk profile and in the coronary angiographic presentation between STEMI and NSTEMI. Moreover possible relationship between myocardial infarction presentation and renal function will be investigated.
Assessment of risk profile. Diabetes mellitus diagnosed when fasting blood glucose (FBG) was
>= 126mg/dL or if patients were taking oral hypoglycaemic drugs or were on insulin
treatment. Hypertension defined as blood pressure >= 140/90 mmHg or history of
antihypertensive treatment. Hypercholesterolemia,adjudicated when cholesterol levels were >=
200 mg/dL or with patients on lipid lowering treatment. Hypertriglyceridemia adjudicated on
fasting triglyceride levels>= 200 mg/dL or triglyceride-lowering therapy . Obesity, defined
as BMI >= 30 kg/m2.
Patients with STEMI, who had not been previously treated with thrombolysis, and those who
had been undergone to an unsuccessful thrombolysis, as well as patients with NSTEMI with a
TIMI score> 3 who were immediately referred to the Cat Lab and whenever possible treated
with PTCA and stenting of the culprit lesion. The other patients who were referred to Cat
Lab within 48 hours from the beginning of chest pain, unless their general conditions did
not strongly suggest to delay the procedure after 2 more days.
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Observational Model: Case-Only, Time Perspective: Retrospective
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