Circ Cardiovasc Interv

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Presentation transcript:

Circ Cardiovasc Interv Operator Versus Core Laboratory Assessment of Angiographic Reperfusion Markers in Patients Undergoing Primary Percutaneous Coronary Intervention for ST-Segment–Elevation Myocardial Infarction by Sorin J. Brener, Ecaterina Cristea, Alexandra J. Lansky, Martin Fahy, Roxana Mehran, and Gregg W. Stone Circ Cardiovasc Interv Volume 5(4):563-569 August 14, 2012 Copyright © American Heart Association, Inc. All rights reserved.

A, Pre-percutaneous coronary intervention (PCI) Thrombolysis in Myocardial Infarction (TIMI) flow grade; B, Post-PCI TIMI flow grade. A, Pre-percutaneous coronary intervention (PCI) Thrombolysis in Myocardial Infarction (TIMI) flow grade; B, Post-PCI TIMI flow grade. The κ between operator (Op) and angiography core laboratory (ACL) was 0.51 (0.47 to 0.54) for pre-PCI TIMI flow and 0.35 (0.33 to 0.38) for post-PCI TIMI flow. Sorin J. Brener et al. Circ Cardiovasc Interv. 2012;5:563-569 Copyright © American Heart Association, Inc. All rights reserved.

A, Pre-percutaneous coronary intervention (PCI) densitometric myocardial blush grade (MBG); B, Post-PCI densitometric MBG. The κ between operator (Op) and angiography core laboratory (ACL) was 0.41 (0.36 to 0.47) for pre-PCI MBG and 0.20 (0.16 to 0.24) for post-PCI MBG. A, Pre-percutaneous coronary intervention (PCI) densitometric myocardial blush grade (MBG); B, Post-PCI densitometric MBG. The κ between operator (Op) and angiography core laboratory (ACL) was 0.41 (0.36 to 0.47) for pre-PCI MBG and 0.20 (0.16 to 0.24) for post-PCI MBG. Sorin J. Brener et al. Circ Cardiovasc Interv. 2012;5:563-569 Copyright © American Heart Association, Inc. All rights reserved.

3-year mortality according to final Thrombolysis in Myocardial Infarction (TIMI) flow graded by operator (Op) and angiographic core laboratory (ACL). 3-year mortality according to final Thrombolysis in Myocardial Infarction (TIMI) flow graded by operator (Op) and angiographic core laboratory (ACL). Sorin J. Brener et al. Circ Cardiovasc Interv. 2012;5:563-569 Copyright © American Heart Association, Inc. All rights reserved.

3-year mortality according to densitometric myocardial blush grade (MBG) assessed by operator (Op) and angiographic core laboratory (ACL). 3-year mortality according to densitometric myocardial blush grade (MBG) assessed by operator (Op) and angiographic core laboratory (ACL). Sorin J. Brener et al. Circ Cardiovasc Interv. 2012;5:563-569 Copyright © American Heart Association, Inc. All rights reserved.

Interaction plot of the adjusted hazard ratios for post-percutaneous coronary intervention (PCI) Thrombolysis in Myocardial Infarction (TIMI) flow. Interaction plot of the adjusted hazard ratios for post-percutaneous coronary intervention (PCI) Thrombolysis in Myocardial Infarction (TIMI) flow. ACL indicates angiography core laboratory; Op, operator. Sorin J. Brener et al. Circ Cardiovasc Interv. 2012;5:563-569 Copyright © American Heart Association, Inc. All rights reserved.

Interaction plot of the adjusted hazard ratios for post-percuatenous coronary intervention (PCI) myocardial blush grade (MBG) flow. Interaction plot of the adjusted hazard ratios for post-percuatenous coronary intervention (PCI) myocardial blush grade (MBG) flow. ACL indicates angiography core laboratory; Op, operator; MBG, myocardial blush grade. Sorin J. Brener et al. Circ Cardiovasc Interv. 2012;5:563-569 Copyright © American Heart Association, Inc. All rights reserved.