Coronary disease & ACS

Soluble ST2 in plasma is associated with post-procedural no-or-slow reflow after primary percutaneous coronary intervention in ST-elevation myocardial infarction

Eur Heart J Acute Cardiovasc CarePublished Cohort study

Authors' conclusion

In patients with STEMI, the sST2 level at admission before coronary angiography is independently associated with the post-procedural no-or-slow-reflow phenomenon.

Study context

Population
Patients with verified ST-elevation myocardial infarction (STEMI) undergoing primary PCI, two tertiary heart centreswith available thrombolysis in myocardial infarction (TIMI) flow
Participants
1,607 patients
Exposure
No-or-slow reflow vs normal reflow after primary PCI
  • No-or-slow reflown = 87
  • Normal reflown = 1,520reference
Outcome
Association of pre-intervention plasma sST2 with post-procedural no-or-slow reflow
Methodological detailsconsecutive patients, two tertiary heart centres
  • Consecutive patients
  • Two tertiary heart centres

Main finding

As reported in the abstract

Pre-procedural sST2 and post-procedural no-or-slow reflow · admission, before angiography
  • No-or-slow reflow vs Normal reflow: P < 0.001

Observational data: associations, not effects.

Further findings

All-cause mortality · 30 days

P = 0.006

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Soluble ST2 in plasma is associated with post-procedural no-or-slow reflow after primary percutaneous coronary intervention in ST-elevation myocardial infarction. Eur Heart J Acute Cardiovasc Care. Published 10 November 2022. doi:10.1093/ehjacc/zuac146

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