Volume 92, Issue 3 pp. 486-487
Coronary Artery Disease

Periprocedural myocardial infarction in chronic total occlusion: The challenge of precise diagnosis and prognostication

Ran Kornowski MD, FACC, FESC

Corresponding Author

Ran Kornowski MD, FACC, FESC

Department of Cardiology, Rabin Medical Center, Petach Tikva, "Sackler" School of Medicine, Tel Aviv University, Tel Aviv, Israel

Correspondence

Ran Kornowski, MD, FESC, FACC, Chairman, Department of Cardiology, Rabin Medical Center, Petach Tikva, Israel.

Email: [email protected]

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Amos Levi MD

Amos Levi MD

Department of Cardiology, Rabin Medical Center, Petach Tikva, "Sackler" School of Medicine, Tel Aviv University, Tel Aviv, Israel

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First published: 12 October 2018
Citations: 1

Key Points

  • Myonecrosis following PCI is a frequent impediment that may impact cardiac prognosis.
  • The frequency of periprocedural myocardial infarction (PMI) in CTO-PCI is dependent on MI definition (biomarker and threshold), lesions characteristics, and PCI course.
  • This study identified predictors of PMI during CTO-PCI and it showed that PMI and peak CK-MB level were associated with worse clinical outcomes.

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