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Association of Median Time to Stable ST Resolution with TIMI Flow Grades and TIMI Frame Counts

Association of Median Time to Stable ST Resolution with TIMI Flow Grades and TIMI Frame Counts. 112 Min. 109 Min. P=0.0003. p=0.001. 46 Min. Time to Stable ST Resolution (Min.). Time to Stable ST Resolution (Min.). 52 Min. N = 47. N = 72. N = 42. N = 77. CTFC < 40. TIMI Grade 0-2.

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Association of Median Time to Stable ST Resolution with TIMI Flow Grades and TIMI Frame Counts

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  1. Association of Median Time to Stable ST Resolution with TIMI Flow Grades and TIMI Frame Counts 112 Min. 109 Min. P=0.0003 p=0.001 46 Min. Time to Stable ST Resolution (Min.) Time to Stable ST Resolution (Min.) 52 Min. N = 47 N = 72 N = 42 N = 77 CTFC < 40 TIMI Grade 0-2 TIMI Grade 3 CTFC > 40 TIMI Flow Grade TIMI Frame Count Gibson CM, AHJ 2004

  2. Relationship of Time to Stable ST Resolution on Continuous ST Segment Monitoring to TMPG p = 0.01 n=30 n=1 n=68 n=19 Gibson CM, AHJ 2004

  3. Association of TMPG and Continous ST Segment Resolution 3817 54.4% P=0.01 p=0.003 2151 27.8% Complete ST Resolution at 60 Min. (%) Median Area Under Curve ( Microvolt Min.) TMPG 3 TMPG 0-2 TMPG 3 TMPG 0-2 Gibson CM, AHJ 2004

  4. Early Impaired Myocardial Perfusion is Associated with Larger SPECT Infarct Size p=0.004 p<0.001 Median = 13 Median = 14 Patients with a closed myocardium (TMPG 0/1) and patients without complete ST resolution (<70%) had larger infarcts. In a multivariate model, both impaired TMPG and incomplete ST resolution were independently associated with larger infarct size Median = 7 % SPECT Infarct Size Median = 6 n=108 n=113 n=209 n=111 TMPG 0/1 TMPG 2/3 Res <70% Res >70% TMPG ST Resolution Circulation 2002

  5. Independent Contribution of Myocardial Blush and ST Resolution to Survival The myocardial blush and ST resolution following primary PCI are independently related to long term survival in acute myocardial infarction Hagger et al, J Am Coll Cardiol, 2003

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