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Published byGilbert Allison Modified over 8 years ago
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No new areas of hypokinesis on cine CMR New LGE after PCI New LGE after PCI
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LGE new and Tn/CK-MB increase - From 9 cases with LGE (2 patients did not have postprocedural TnI) 6 were detected with TnI assay – 63% diagnostic accuracy (TnI > 2x ULN). - No linear relationship between LGE mass and TnI amount - CK-MB was less sensitive for myonecrosis detection in comparison with TnI – 4 cases from 11 – 36% with increase >1xULN; BUT only 1 case >2x ULN (9%); - No linear relationship with LGE detected mass
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TnI assay sensitivity for LGE detection AUC 83%, sensitivity 89%, specificity 56%, p =.026 for LGE detection, when TnI >.05ng/dl
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Parameters associated with new LGE LGE new (+)LGE new (-)p – value* SB lesion length, mm5.31 ± 1.392.46 ±.77.047 SB ostial MLD post stenting, mm.59 ±.1.99 ±.2.036 Distal Limb Diameter final, mm 2.93 ±.182.52 ±.07.026 MB MLD final, mm2.82 ±.162.49 ±.08.044 MB %DS final, %-2% ± 12%14% ± 5%.002 SB %DS post stenting, %74% ± 16%59% ± 16%.049 LDL, mg/dl88 ± 3655 ± 20.041 Trig, mg/dl110 ± 2979 ± 26.036 Creatinine, mg/dl1.1 ±.32.79 ±.16.041 TnI post stenting, ng/ml2.23 ± 2.56.07 ±.07.022 * p <.05 one sided Man – Whitney U-test
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Association between post stent implantation SB MLD and LGE mass and percent from LV mass
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ROC analysis for effects of SB MLD and SB %DS post stenting on periprocedural myonecrosis SB MLD <.78 mm post stenting reveals new LGE with sensitivity 50%, specificity 70%, p =.074, AUC 78%. SB %DS >71% post stenting reveals new LGE with sensitivity 60%, specificity 83%, p =.129, AUC 73%.
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