How can cardiac rupture be predicted during primary PCI for treatment of ST-segment elevation myocardial infarction (MI) (STEMI)?

Updated: May 07, 2019
  • Author: A Maziar Zafari, MD, PhD, FACC, FAHA; Chief Editor: Eric H Yang, MD  more...
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Answer

Cardiac rupture is a major lethal complication of primary PCI for treatment of patients with STEMI. In a study comprising 1663 STEMI patients who underwent PCI of whom 33 (1.98%) developed cardiac rupture, investigators noted that the SYNTAX  (Synergy between percutaneous coronary intervention with Taxus and Cardiac Surgery) Score II (SSII), which is used to assess anatomic and clinical risk in patients with stable coronary artery disease, is an independent predictor for cardiac rupture, which in itself has a poor prognosis. [82]  Increasing SSII tertiles were noted to be associated with a gradual rise in cardiac rupture occurrence.


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