Comparison of clinical efficacy and prognosis between interventional occlusion and surgical treatment for acute myocardial infarction with ventricular septal perforation.
Comparación de la eficacia clínica y el pronóstico entre la oclusión intervencionista y el tratamiento quirúrgico en el infarto agudo de miocardio con perforación del septo ventricular.
Palabras clave:
infarto agudo de miocardio, perforación del septo interventricular, oclusión intervencionista, clasificación de Killip, EuroScore II, clase NYHA, prueba de marcha de 6 minutos
Resumen
Este estudio retrospectivo comparó los resultados clínicos y los factores pronósticos en pacientes con infarto agudo de miocardio con perforación del septo interventricular (AMI-VSP) que se sometieron a oclusión intervencionista (grupo OI) o intervención quirúrgica (grupo IQ). Se analizaron cuarenta y seis pacientes en función de datos clínicos completos, resultados de laboratorio y evaluaciones de seguimiento. El grupo IQ tenía puntajes más altos de EuroScore II y más pacientes en la clase IV de Killip. Ambos tratamientos mostraron mejoras en los índices de laboratorio, pero el grupo OI tenía una fracción de eyección ventricular izquierda más alta y niveles más bajos de ciertos biomarcadores. La estancia hospitalaria posoperatoria y el tiempo total de hospitalización fueron más cortos en el grupo OI. Las tasas de supervivencia no diferían significativamente entre los dos grupos durante el período de seguimiento. El análisis de regresión logística identificó la historia de enfermedad coronaria como un factor de riesgo significativo que afecta el pronóstico y las tasas de supervivencia. Tanto la oclusión intervencionista como la intervención quirúrgica resultaron efectivas, con la oclusión intervencionista mostrando una recuperación más rápida y pronósticos más favorables, mientras que la cirugía se prefería para casos graves. La enfermedad coronaria fue un factor clave que influyó en la supervivencia posoperatoria en pacientes con AMI-VSP.
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Citas
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Elbadawi A, Elgendy IY, Mahmoud K, Barakat AF, Mentias A, Mohamed AH, Ogunbayo GO, Megaly M, Saad M, Omer MA, Paniagua D, Abbott JD, Jneid H. Temporal trends and outcomes of mechanical complications in patients with acute myocardial infarction. JACC-Cardiovasc Int 2019; 12(18):1825-1836. doi: 10.1016/j. jcin.2019.04.039.
Fan X, Wang S, Liu P, Bai L. Inferior ST-segment elevation can predict in hospital mortality in patients with anterior myocardial infarction complicated by ventricular septal rupture. Dis Markers 2022; 2022:7067420. doi: 10.1155/2022/7067420.
Michelis I, Kontonasakis I, Tsakliadou C, Kouvelas N. Ventricular septal rupture presented with chronic heart failure symptoms: a case report. Eur Heart J-Case Rep 2019; 3(2):ytz047. doi: 10.1093/ehjcr/ ytz047.
Giblett JP, Jenkins DP, Calvert PA. Transcatheter treatment of postinfarct ventricular septal defects. Heart 2020; 106(12):878-884. doi: 10.1136/heartjnl-2019-315751.
Moreyra AE, Huang MS, Wilson AC, Deng Y, Cosgrove NM, Kostis JB. Trends in incidence and mortality rates of ventricular septal rupture during acute myocardial infarction. Am J Cardiol 2010; 106(8):1095-1100. doi: 10.1016/j.amj-card.2010.06.013.
Chan T, Xue Y, Chong H, Zhou Q, Wang D. Surgical repair for acute myocardial infarction induced ventricular septal defect: does time matter? Heart Surg Forum 2021; 24(1):E14-E18. doi: 10.1532/hsf.3321.
Zhu XY, Qin YW, Han YL, Zhang DZ, Wang P, Liu YF, Xu YW, Jing QM, Xu K, Gersh BJ, Wang XZ. Long-term efficacy of transcatheter closure of ventricular septal defect in combination with percutaneous coronary intervention in patients with ventricular septal defect complicating acute myocardial infarction: a multicentre study. Eurointervention 2013; 8(11):1270-1276. doi: 10.4244/EIJV8I11A195.
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Aslam N. Increase in PKCalpha activity during heart failure despite the stimulation of PKC alpha braking mechanism. Int J Mol Sci 2020; 21(7):2561. doi: 10.3390/ijms21072561.
Okamoto Y, Yamamoto K, Yoshii S. Triple patch technique to repair ventricular septal rupture. Ann Cardiothorac Surg 2022; 11(3):273-280. doi: 10.21037/acs-2021-ami-13.
Yip HK, Fang CY, Tsai KT, Chang HW, Yeh KH, Fu M, Wu CJ. The potential impact of primary percutaneous coronary intervention on ventricular septal rupture complicating acute myocardial infarction. Chest 2004; 125(5):1622-1628. doi: 10.1378/chest.125.5.1622.
Ledakowicz-Polak A, Polak L, Zielinska M. Ventricular septal defect complicating acute myocardial infarction-still an unsolved problem in the invasive treatment era. Cardiovasc Pathol 2011; 20(2):93-98. doi: 10.1016/j.carpath.2010.01.008.
Duan MX, Zhao X, Li SL, Tao JZ, Li BY, Meng XG, Dai DP, Lu YY, Yue ZZ, Du Y, Rui ZA, Pang S, Zhou YH, Miao GR, Bai LP, Zhang QY, Zhao XY. Analysis of influencing factors for prognosis of patients with ventricular septal perforation: A single-center retrospective study. Front Cardiovasc Med 2022; 9:995275. doi: 10.3389/fcvm.2022.995275.
Serpytis P, Karvelyte N, Serpytis R, Kalinauskas G, Rucinskas K, Samalavicius R, Ivaska J, Glaveckaite S, Berukstis E, Tubaro M, Alpert JS, Laucevicius A. Post- infarction ventricular septal defect: risk factors and early outcomes. Hell J Cardiol 2015; 56(1):66-71.
Mouhat B, Putot A, Hanon O, Eicher JC, Chague F, Beer JC, Maza M, Zeller M, Cottin Y. Low systolic blood pressure and mortality in elderly patients after acute myocardial infarction. J Am Heart Assoc 2020; 9(5):e13030. doi: 10.1161/ JAHA.119.013030.
Bae CM, Cho JY, Jung H, Son SA. Serum pro-B-type natriuretic peptide levels and cardiac index as adjunctive tools of blunt cardiac injury. Bmc Cardiovasc Disor 2023; 23(1):81. doi: 10.1186/s12872-022-02990-2.
Zheng XH, Wang LL, Zheng MZ, Zhong JJ, Chen YY, Shen YL. RGFP966 inactivation of the YAP pathway attenuates cardiac dysfunction induced by prolonged hypo-thermic preservation. J Zhejiang Univ-Sc B 2020; 21(9):703-715. doi: 10.1631/jzus. B2000026.
Pahuja M, Schrage B, Westermann D, Basir MB, Garan AR, Burkhoff D. Hemodynamic effects of mechanical circulatory support devices in ventricular septal defect. Circ Heart Fail 2019; 12(7):e5981. doi: 10.1161/CIRCHEART- FAILURE.119.005981.
Amano M, Nakagawa S, Moriuchi K, Nishimura H, Tamai Y, Mizumoto A, Yanagi Y, Yonezawa R, Demura Y, Jo Y, Irie Y, Okada A, Kitai T, Amaki M, Kanzaki H, Kusano K, Noguchi T, Nishimura K, Izumi C. Substitute parameters of exercise-induced pulmonary hypertension and usefulness of low workload exercise stress echocardiography in mitral regurgitation. Sci Rep-Uk 2022; 12(1):15977. doi: 10.1038/s41598-022-19987-8.
Liu K, Shen J, Wu K, Meng F, Wang S, Zheng S, Zhang H. Transapical mitral valve-in-valve implantation for failed bio-prosthetic valve using the J-valve system with locator device: early and mid-term outcomes. Ann Transl Med 2022; 10(1):21. doi: 10.21037/atm-21-6513.
Zhang L, Niu G, Zhang G. Effect of continuity of care on quality of life and medication compliance of patients with ST-segment elevation myocardial infarction. Am J Transl Res 2022; 14(2):1354-1360.
Cai Z, Tu J, Xu L, Lin Y, Deng B, Li F, Chen S, Dong N. Combining prognostic nutritional index and brain natriuretic peptide as a predicting tool for heart transplantation. J Cardiovasc Dev Dis 2022; 9(2):40. doi: 10.3390/jcdd9020040.
Liu T, Wang C, Wang L, Shi X, Li X, Chen J, Xuan H, Li D, Xu T. Development and validation of a clinical and laboratory based nomogram for predicting coronary microvascular obstruction in NSTEMI patients after primary PCI. Ther Clin Risk Manag 2022; 18:155-169. doi: 10.2147/ TCRM.S353199.
Liu SP, Li L, Yao KC, Wang N, Wang JC. Investigation of membranous ventricular septal defect complicated with tricuspid regurgitation in ventricular septal defect occlusion. Exp Ther Med 2013; 5(3):865-869. doi: 10.3892/etm.2012.876.
Yi K, Liu C, Xu Z, Xu J, Dong X, Zhang X, Wang W, Ding J, You T. Transcatheter closure of post-myocardial infarction ventricular septal defect: A systematic review and single-arm meta-analysis. Heliyon 2023; 9(6):e16708. doi: 10.1016/j.heliyon.2023. e16708.
Schlotter F, de Waha S, Eitel I, Desch S, Fuernau G, Thiele H. Interventional post-myocardial infarction ventricular septal defect closure: a systematic review of current evidence. Eurointervention 2016; 12(1):94-102. doi: 10.4244/EIJV12I1A17.
Ma Y, Ma L, Ma J, Wu R, Zou Y, Ge J. Hyperlipidemia inhibits the protective effect of lisinopril after myocardial infarction via activation of dendritic cells. J Cell Mol Med 2020; 24(7):4082-4091. doi: 10.1111/jcmm.15060.
Lv M, Yang D, Ji X, Lou L, Nie B, Zhao J, Wu A, Zhao M. Effect of WenXin KeLi on improvement of arrhythmia after myocardial infarction by intervening PI3K-AKT- mTOR autophagy pathway. Evid-Based Compl Alt 2022; 2022:2022970. doi: 10.1155/2022/2022970.
Jiang W, Chen H, Liao J, Yang X, Yang B, Zhang Y, Pan X, Lian L, Yang L. The short-term effects and burden of particle air pollution on hospitalization for coronary heart disease: a time-stratified case crossover study in Sichuan, China. Environ Health-Glob 2022; 21(1):19. doi: 10.1186/ s12940-022-00832-4.
Maddox TM, Stanislawski MA, Grunwald GK, Bradley SM, Ho PM, Tsai TT, Patel MR, Sandhu A, Valle J, Magid DJ, Leon B, Bhatt DL, Fihn SD, Rumsfeld JS. Nonob-structive coronary artery disease and risk of myocardial infarction. J Am Med Assoc 2014; 312(17):1754-1763. doi: 10.1001/ jama.2014.14681.
Elbadawi A, Elgendy IY, Mahmoud K, Barakat AF, Mentias A, Mohamed AH, Ogunbayo GO, Megaly M, Saad M, Omer MA, Paniagua D, Abbott JD, Jneid H. Temporal trends and outcomes of mechanical complications in patients with acute myocardial infarction. JACC-Cardiovasc Int 2019; 12(18):1825-1836. doi: 10.1016/j. jcin.2019.04.039.
Fan X, Wang S, Liu P, Bai L. Inferior ST-segment elevation can predict in hospital mortality in patients with anterior myocardial infarction complicated by ventricular septal rupture. Dis Markers 2022; 2022:7067420. doi: 10.1155/2022/7067420.
Michelis I, Kontonasakis I, Tsakliadou C, Kouvelas N. Ventricular septal rupture presented with chronic heart failure symptoms: a case report. Eur Heart J-Case Rep 2019; 3(2):ytz047. doi: 10.1093/ehjcr/ ytz047.
Giblett JP, Jenkins DP, Calvert PA. Transcatheter treatment of postinfarct ventricular septal defects. Heart 2020; 106(12):878-884. doi: 10.1136/heartjnl-2019-315751.
Moreyra AE, Huang MS, Wilson AC, Deng Y, Cosgrove NM, Kostis JB. Trends in incidence and mortality rates of ventricular septal rupture during acute myocardial infarction. Am J Cardiol 2010; 106(8):1095-1100. doi: 10.1016/j.amj-card.2010.06.013.
Chan T, Xue Y, Chong H, Zhou Q, Wang D. Surgical repair for acute myocardial infarction induced ventricular septal defect: does time matter? Heart Surg Forum 2021; 24(1):E14-E18. doi: 10.1532/hsf.3321.
Zhu XY, Qin YW, Han YL, Zhang DZ, Wang P, Liu YF, Xu YW, Jing QM, Xu K, Gersh BJ, Wang XZ. Long-term efficacy of transcatheter closure of ventricular septal defect in combination with percutaneous coronary intervention in patients with ventricular septal defect complicating acute myocardial infarction: a multicentre study. Eurointervention 2013; 8(11):1270-1276. doi: 10.4244/EIJV8I11A195.
Haas NA, Kock L, Bertram H, Boekenkamp R, De Wolf D, Ditkivskyy I, Freund MW, Gewillig M, Happel CM, Herberg U, Karthasyan E, Kozlik-Feldmann R, Kretschmar O, Kuzmenko Y, Milanesi O, Mueller G, Pongiglione G, Schubert S, Tarusinov G, Kampmann C. Interventional VSD-closure with the Nit-Occlud((R)) Le VSD-Coil in 110 patients: early and mid- term results of the EUREVECO-Registry. Pediatr Cardiol 2017; 38(2):215-227. doi: 10.1007/s00246-016-1502-8.
Aslam N. Increase in PKCalpha activity during heart failure despite the stimulation of PKC alpha braking mechanism. Int J Mol Sci 2020; 21(7):2561. doi: 10.3390/ijms21072561.
Okamoto Y, Yamamoto K, Yoshii S. Triple patch technique to repair ventricular septal rupture. Ann Cardiothorac Surg 2022; 11(3):273-280. doi: 10.21037/acs-2021-ami-13.
Yip HK, Fang CY, Tsai KT, Chang HW, Yeh KH, Fu M, Wu CJ. The potential impact of primary percutaneous coronary intervention on ventricular septal rupture complicating acute myocardial infarction. Chest 2004; 125(5):1622-1628. doi: 10.1378/chest.125.5.1622.
Ledakowicz-Polak A, Polak L, Zielinska M. Ventricular septal defect complicating acute myocardial infarction-still an unsolved problem in the invasive treatment era. Cardiovasc Pathol 2011; 20(2):93-98. doi: 10.1016/j.carpath.2010.01.008.
Duan MX, Zhao X, Li SL, Tao JZ, Li BY, Meng XG, Dai DP, Lu YY, Yue ZZ, Du Y, Rui ZA, Pang S, Zhou YH, Miao GR, Bai LP, Zhang QY, Zhao XY. Analysis of influencing factors for prognosis of patients with ventricular septal perforation: A single-center retrospective study. Front Cardiovasc Med 2022; 9:995275. doi: 10.3389/fcvm.2022.995275.
Serpytis P, Karvelyte N, Serpytis R, Kalinauskas G, Rucinskas K, Samalavicius R, Ivaska J, Glaveckaite S, Berukstis E, Tubaro M, Alpert JS, Laucevicius A. Post- infarction ventricular septal defect: risk factors and early outcomes. Hell J Cardiol 2015; 56(1):66-71.
Mouhat B, Putot A, Hanon O, Eicher JC, Chague F, Beer JC, Maza M, Zeller M, Cottin Y. Low systolic blood pressure and mortality in elderly patients after acute myocardial infarction. J Am Heart Assoc 2020; 9(5):e13030. doi: 10.1161/ JAHA.119.013030.
Bae CM, Cho JY, Jung H, Son SA. Serum pro-B-type natriuretic peptide levels and cardiac index as adjunctive tools of blunt cardiac injury. Bmc Cardiovasc Disor 2023; 23(1):81. doi: 10.1186/s12872-022-02990-2.
Zheng XH, Wang LL, Zheng MZ, Zhong JJ, Chen YY, Shen YL. RGFP966 inactivation of the YAP pathway attenuates cardiac dysfunction induced by prolonged hypo-thermic preservation. J Zhejiang Univ-Sc B 2020; 21(9):703-715. doi: 10.1631/jzus. B2000026.
Pahuja M, Schrage B, Westermann D, Basir MB, Garan AR, Burkhoff D. Hemodynamic effects of mechanical circulatory support devices in ventricular septal defect. Circ Heart Fail 2019; 12(7):e5981. doi: 10.1161/CIRCHEART- FAILURE.119.005981.
Amano M, Nakagawa S, Moriuchi K, Nishimura H, Tamai Y, Mizumoto A, Yanagi Y, Yonezawa R, Demura Y, Jo Y, Irie Y, Okada A, Kitai T, Amaki M, Kanzaki H, Kusano K, Noguchi T, Nishimura K, Izumi C. Substitute parameters of exercise-induced pulmonary hypertension and usefulness of low workload exercise stress echocardiography in mitral regurgitation. Sci Rep-Uk 2022; 12(1):15977. doi: 10.1038/s41598-022-19987-8.
Liu K, Shen J, Wu K, Meng F, Wang S, Zheng S, Zhang H. Transapical mitral valve-in-valve implantation for failed bio-prosthetic valve using the J-valve system with locator device: early and mid-term outcomes. Ann Transl Med 2022; 10(1):21. doi: 10.21037/atm-21-6513.
Zhang L, Niu G, Zhang G. Effect of continuity of care on quality of life and medication compliance of patients with ST-segment elevation myocardial infarction. Am J Transl Res 2022; 14(2):1354-1360.
Cai Z, Tu J, Xu L, Lin Y, Deng B, Li F, Chen S, Dong N. Combining prognostic nutritional index and brain natriuretic peptide as a predicting tool for heart transplantation. J Cardiovasc Dev Dis 2022; 9(2):40. doi: 10.3390/jcdd9020040.
Liu T, Wang C, Wang L, Shi X, Li X, Chen J, Xuan H, Li D, Xu T. Development and validation of a clinical and laboratory based nomogram for predicting coronary microvascular obstruction in NSTEMI patients after primary PCI. Ther Clin Risk Manag 2022; 18:155-169. doi: 10.2147/ TCRM.S353199.
Liu SP, Li L, Yao KC, Wang N, Wang JC. Investigation of membranous ventricular septal defect complicated with tricuspid regurgitation in ventricular septal defect occlusion. Exp Ther Med 2013; 5(3):865-869. doi: 10.3892/etm.2012.876.
Yi K, Liu C, Xu Z, Xu J, Dong X, Zhang X, Wang W, Ding J, You T. Transcatheter closure of post-myocardial infarction ventricular septal defect: A systematic review and single-arm meta-analysis. Heliyon 2023; 9(6):e16708. doi: 10.1016/j.heliyon.2023. e16708.
Schlotter F, de Waha S, Eitel I, Desch S, Fuernau G, Thiele H. Interventional post-myocardial infarction ventricular septal defect closure: a systematic review of current evidence. Eurointervention 2016; 12(1):94-102. doi: 10.4244/EIJV12I1A17.
Ma Y, Ma L, Ma J, Wu R, Zou Y, Ge J. Hyperlipidemia inhibits the protective effect of lisinopril after myocardial infarction via activation of dendritic cells. J Cell Mol Med 2020; 24(7):4082-4091. doi: 10.1111/jcmm.15060.
Lv M, Yang D, Ji X, Lou L, Nie B, Zhao J, Wu A, Zhao M. Effect of WenXin KeLi on improvement of arrhythmia after myocardial infarction by intervening PI3K-AKT- mTOR autophagy pathway. Evid-Based Compl Alt 2022; 2022:2022970. doi: 10.1155/2022/2022970.
Jiang W, Chen H, Liao J, Yang X, Yang B, Zhang Y, Pan X, Lian L, Yang L. The short-term effects and burden of particle air pollution on hospitalization for coronary heart disease: a time-stratified case crossover study in Sichuan, China. Environ Health-Glob 2022; 21(1):19. doi: 10.1186/ s12940-022-00832-4.
Maddox TM, Stanislawski MA, Grunwald GK, Bradley SM, Ho PM, Tsai TT, Patel MR, Sandhu A, Valle J, Magid DJ, Leon B, Bhatt DL, Fihn SD, Rumsfeld JS. Nonob-structive coronary artery disease and risk of myocardial infarction. J Am Med Assoc 2014; 312(17):1754-1763. doi: 10.1001/ jama.2014.14681.
Publicado
2024-02-15
Cómo citar
Ni, C., Hu, P., & Ni, Y. (2024). Comparison of clinical efficacy and prognosis between interventional occlusion and surgical treatment for acute myocardial infarction with ventricular septal perforation.: Comparación de la eficacia clínica y el pronóstico entre la oclusión intervencionista y el tratamiento quirúrgico en el infarto agudo de miocardio con perforación del septo ventricular. Investigación Clínica, 65(1), 70-82. https://doi.org/10.54817/IC.v65n1a07
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