Periprocedural myocardial infarction after percutaneous coronary intervention and long-term mortality: a meta-analysis
Authors' conclusion
All currently available international definitions of PMI are associated with an increased risk of all-cause death after percutaneous coronary intervention.
Study context
- Population
- Patients undergoing PCI
- Participants
- 109,568 patients · 19 studies
- Comparison
- Periprocedural myocardial infarction (PMI) vs no PMI after PCI, by Universal Definition of Myocardial Infarction (UDMI), ARC-2 and Society for Cardiovascular Angiography and Interventions (SCAI) definitions
- Outcome
- All-cause death
Methodological detailsrandom-effect model, adjusted effect estimates
- Random-effect model
- Adjusted effect estimates
Pooled result
As reported in the abstract
All-cause mortality
Hazard ratio (95% CI)
UDMII2 34%
1.61(1.32–1.97)
ARC-2I2 0%
2.07(1.40–3.08)
SCAII2 78%
3.24(2.36–4.44)
Further pooled results
PMI incidence
- Incidence of PMI progressively lower across UDMI, ARC-2 and SCAI definitions
Ancillary criteria and prognostic performance
- Including ancillary criteria increased prognostic performance in UDMI but not in SCAI
Original publication
Periprocedural myocardial infarction after percutaneous coronary intervention and long-term mortality: a meta-analysis. Eur Heart J. Published 14 May 2024. doi:10.
Summarised from the published abstract; every number is checked against it