Análise comparativa entre a proteína C-reativa de alta sensibilidade em veia periférica e seio coronário na angina estável e instável

Leite, Weverton Ferreira

doi:10.11606/t.5.2014.tde-26022015-152337

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References 114 publications

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“…Although the clinical characteristics of pain in some patients could be similar between AMI and unstable angina, this symptom is more intense in AMI, because the severity of ischemia is more prolonged, to the point of causing enough myocardial damage to release necrosis markers [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Chest Pain in Acute Myocardial Infarction and Its Association With the Culprit Artery and Fibrotic Segment Identified by Cardiac Magnetic Resonance

et al. 2023

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Background: It is still very controversial whether the characteristics of pain in the acute myocardial infarction could be related to the culprit coronary artery. There are no data about associations of pain with the ST-segment elevation myocardial infarction (STEMI) and left ventricular (LV) fibrotic segments.Methods: Data from 328 participants who had STEMI and were included in the B and T Types of Lymphocytes Evaluation in Acute Myocardial Infarction (BATTLE-AMI) study were analyzed. The culprit artery was identified by coronary angiography and the injured myocardial segments by cardiac magnetic resonance. The statistical significance was established by P value < 0.05.Results: A total of 223 patients (68%) were selected. Association was not observed between chest pain and the culprit artery (P = 0.237), as well as between pain irradiation and the culprit artery (P = 0.473). No significant difference was observed in the pain localization in relation to the segments in the short axis basal, mid, apical, and long axis, except for the mid inferior segment. The data were not considered clinically relevant because this association was observed in only one of 17 segments after multiple comparisons. Conclusions:In patients with STEMI, no associations were observed between the location or irradiation of acute chest pain and/or adjacent areas and the culprit artery, or between pain and segmental myocardial fibrosis in the LV.

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Section: Introductionmentioning

confidence: 99%