Peculiarities and Consequences of Different Angiographic Patterns of STEMI Patients Receiving Coronary Angiography Only: Data from a Large Primary PCI Registry
Background. Inappropriate cardiac catheterization lab activation together with false-positive angiographies and no-culprit found coronary interventions are now reported as costly to the medical system, influencing STEMI process efficiency. We aimed to analyze data from a high-volume interventional c...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2020-01-01
|
| Series: | Emergency Medicine International |
| Online Access: | http://dx.doi.org/10.1155/2020/9839281 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850221200697982976 |
|---|---|
| author | Alexandru Burlacu Grigore Tinica Bogdan Artene Paul Simion Diana Savuc Adrian Covic |
| author_facet | Alexandru Burlacu Grigore Tinica Bogdan Artene Paul Simion Diana Savuc Adrian Covic |
| author_sort | Alexandru Burlacu |
| collection | DOAJ |
| description | Background. Inappropriate cardiac catheterization lab activation together with false-positive angiographies and no-culprit found coronary interventions are now reported as costly to the medical system, influencing STEMI process efficiency. We aimed to analyze data from a high-volume interventional centre (>1000 primary PCIs/year) exploring etiologies and reporting characteristics from all “blank” coronary angiographies in STEMI. Methods. In this retrospective observational single-centre cohort study, we reported two-year data from a primary PCI registry (2035 patients). “Angio-only” cases were assigned to one of these categories: (a) Takotsubo syndrome; (b) coronary embolisation; (c) myocardial infarction with nonobstructive coronary arteries; (d) myocarditis; (e) CABG-referred; (f) normal coronary arteries (mostly diagnostic errors); and (g)others (refusals and death prior angioplasty). Univariate analysis assessed correlations between each category and cardiovascular risk factors. Results. 412 STEMI patients received coronary angiography “only,” accounting for 20.2% of cath lab activations. Barely 77 patients had diagnostic errors (3.8% from all patients) implying false-activations. 40% of “angio-only” patients (n = 165) were referred to surgery due to severe atherosclerosis or mechanical complications. Patients with diagnostic errors and normal arteries displayed strong correlations with all cardiovascular risk factors. Probably, numerous risk factors “convinced” emergency department staff to call for an angio. Conclusions. STEMI network professionals often confront with coronary angiography “only” situations. We propose a classification according to etiologies. Next, STEMI guidelines should include audit recommendations and specific thresholds regarding “angio-only” patients, with specific focus on MINOCA, CABG referrals, and diagnostic errors. These measures will have a double impact: a better management of the patient, and a clearer perception about the usefulness of the investments. |
| format | Article |
| id | doaj-art-707b85794c8b4db5afca012bcb9d2f8b |
| institution | OA Journals |
| issn | 2090-2840 2090-2859 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Emergency Medicine International |
| spelling | doaj-art-707b85794c8b4db5afca012bcb9d2f8b2025-08-20T02:06:47ZengWileyEmergency Medicine International2090-28402090-28592020-01-01202010.1155/2020/98392819839281Peculiarities and Consequences of Different Angiographic Patterns of STEMI Patients Receiving Coronary Angiography Only: Data from a Large Primary PCI RegistryAlexandru Burlacu0Grigore Tinica1Bogdan Artene2Paul Simion3Diana Savuc4Adrian Covic5Department of Interventional Cardiology, Cardiovascular Diseases Institute, “Grigore T. Popa” University of Medicine, Iasi, RomaniaDepartment of Cardiovascular Surgery, Cardiovascular Diseases Institute, “Grigore T. Popa” University of Medicine, Iasi, RomaniaDepartment of Interventional Cardiology, Cardiovascular Diseases Institute, Iasi, RomaniaDepartment of Interventional Cardiology, Cardiovascular Diseases Institute, Iasi, RomaniaDepartment of Interventional Cardiology, Cardiovascular Diseases Institute, Iasi, RomaniaNephrology Clinic, Dialysis and Renal Transplant Center, “C.I. Parhon” University Hospital, Iasi, RomaniaBackground. Inappropriate cardiac catheterization lab activation together with false-positive angiographies and no-culprit found coronary interventions are now reported as costly to the medical system, influencing STEMI process efficiency. We aimed to analyze data from a high-volume interventional centre (>1000 primary PCIs/year) exploring etiologies and reporting characteristics from all “blank” coronary angiographies in STEMI. Methods. In this retrospective observational single-centre cohort study, we reported two-year data from a primary PCI registry (2035 patients). “Angio-only” cases were assigned to one of these categories: (a) Takotsubo syndrome; (b) coronary embolisation; (c) myocardial infarction with nonobstructive coronary arteries; (d) myocarditis; (e) CABG-referred; (f) normal coronary arteries (mostly diagnostic errors); and (g)others (refusals and death prior angioplasty). Univariate analysis assessed correlations between each category and cardiovascular risk factors. Results. 412 STEMI patients received coronary angiography “only,” accounting for 20.2% of cath lab activations. Barely 77 patients had diagnostic errors (3.8% from all patients) implying false-activations. 40% of “angio-only” patients (n = 165) were referred to surgery due to severe atherosclerosis or mechanical complications. Patients with diagnostic errors and normal arteries displayed strong correlations with all cardiovascular risk factors. Probably, numerous risk factors “convinced” emergency department staff to call for an angio. Conclusions. STEMI network professionals often confront with coronary angiography “only” situations. We propose a classification according to etiologies. Next, STEMI guidelines should include audit recommendations and specific thresholds regarding “angio-only” patients, with specific focus on MINOCA, CABG referrals, and diagnostic errors. These measures will have a double impact: a better management of the patient, and a clearer perception about the usefulness of the investments.http://dx.doi.org/10.1155/2020/9839281 |
| spellingShingle | Alexandru Burlacu Grigore Tinica Bogdan Artene Paul Simion Diana Savuc Adrian Covic Peculiarities and Consequences of Different Angiographic Patterns of STEMI Patients Receiving Coronary Angiography Only: Data from a Large Primary PCI Registry Emergency Medicine International |
| title | Peculiarities and Consequences of Different Angiographic Patterns of STEMI Patients Receiving Coronary Angiography Only: Data from a Large Primary PCI Registry |
| title_full | Peculiarities and Consequences of Different Angiographic Patterns of STEMI Patients Receiving Coronary Angiography Only: Data from a Large Primary PCI Registry |
| title_fullStr | Peculiarities and Consequences of Different Angiographic Patterns of STEMI Patients Receiving Coronary Angiography Only: Data from a Large Primary PCI Registry |
| title_full_unstemmed | Peculiarities and Consequences of Different Angiographic Patterns of STEMI Patients Receiving Coronary Angiography Only: Data from a Large Primary PCI Registry |
| title_short | Peculiarities and Consequences of Different Angiographic Patterns of STEMI Patients Receiving Coronary Angiography Only: Data from a Large Primary PCI Registry |
| title_sort | peculiarities and consequences of different angiographic patterns of stemi patients receiving coronary angiography only data from a large primary pci registry |
| url | http://dx.doi.org/10.1155/2020/9839281 |
| work_keys_str_mv | AT alexandruburlacu peculiaritiesandconsequencesofdifferentangiographicpatternsofstemipatientsreceivingcoronaryangiographyonlydatafromalargeprimarypciregistry AT grigoretinica peculiaritiesandconsequencesofdifferentangiographicpatternsofstemipatientsreceivingcoronaryangiographyonlydatafromalargeprimarypciregistry AT bogdanartene peculiaritiesandconsequencesofdifferentangiographicpatternsofstemipatientsreceivingcoronaryangiographyonlydatafromalargeprimarypciregistry AT paulsimion peculiaritiesandconsequencesofdifferentangiographicpatternsofstemipatientsreceivingcoronaryangiographyonlydatafromalargeprimarypciregistry AT dianasavuc peculiaritiesandconsequencesofdifferentangiographicpatternsofstemipatientsreceivingcoronaryangiographyonlydatafromalargeprimarypciregistry AT adriancovic peculiaritiesandconsequencesofdifferentangiographicpatternsofstemipatientsreceivingcoronaryangiographyonlydatafromalargeprimarypciregistry |