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The Predictors of Spontaneous Coronary Reperfusion in Patients with ST-segment Elevation Myocardial Infarction

Heart Science Journal · Vol. 5 No. 3 (2024) · pp. 34–38

DOI
10.21776/ub/hsj.2024.005.03.6
ISSN
2721-9984, 2721-9976
Published
2024-07-30
Publisher
Universitas Brawijaya
Language
en

Abstract

BACKGROUND: In ST-segment elevation myocardial infarction (STEMI) management, some patients undergo spontaneous coronary reperfusion (SCR) with a better prognosis than those without SCR, but predictors for SCR remain unclear.OBJECTIVE: To investigate several potential predictors of SCR, including smoking status, BMI, DAPT loading time, hemoglobin levels, platelet count, random blood sugar levels, uric acid levels, creatinine clearance, and the Syntax score.METHODS: This case-control study was conducted at the West Nusa Tenggara General Hospital in Indonesia from December 2022 to September 2023. Data collection encompassed various patient demographics and clinical parameters, including name, medical record number, age, gender, smoking status, BMI, DAPT loading time, hemoglobin levels, platelet count, random blood sugar, uric acid, creatinine clearance, the Syntax score, and the occurrence of SCR. Statistical analysis for this study involved multivariate logistic regression analysis.RESULTS: A total of thirty-two patients was included, evenly divided into 16 subjects allocated to the SCR group and 16 to the non-SCR group. The analysis indicated that only BMI demonstrated a statistically significant association with SCR occurrence. However, the study did not yield conclusive evidence regarding the influence of smoking status, DAPT loading time, hemoglobin levels, platelet count, random blood sugar levels, uric acid levels, creatinine clearance, and the Syntax score on the likelihood of SCR.CONCLUSION: A normal BMI is identified as a robust predictor for the incidence of SCR in patients diagnosed with STEMI.

Keywords

Collaboration network of the authors

21 authors · 64 co-authorship links · 1 across different organisations

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  • Universitas Halu Oleo
  • Universitas Muhammadiyah Riau
  • Diponegoro University
  • Affiliation unknown
  • Different organisations
  • Same organisation
  • Affiliation unknown
  • Thicker line = more joint articles · bigger circle = more articles
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Co-authorOrganisationJoint articles
Basuki RahmatAffiliation unknown4
AASM Meiswaryasti PutraAffiliation unknown3
Mulyanto MulyantoUniversitas Muhammadiyah Riau2
Budi Susetyo PikirAffiliation unknown2
La Ode KaimuddinUniversitas Halu Oleo1
Muhammad YasinUniversitas Halu Oleo1
Yuyut PrayutiAffiliation unknown1
Budi UtomoDiponegoro University1
Yudi Her OktavionoAffiliation unknown1
Widjiati WidjiatiAffiliation unknown1
Yoga Pamungkas SusaniAffiliation unknown1
Wahyu Sulistya AffarahAffiliation unknown1
Putu Suwita SariAffiliation unknown1
Ni Putu Sasmita LestariAffiliation unknown1
Nurman SaputraAffiliation unknown1
Alfian MuhajirAffiliation unknown1

Affiliations come from OpenAlex; journal OAI-PMH metadata carries none. Authors without an OpenAlex ID are matched by name, which can merge or split people.

Metadata source: OAI-PMH (metadata jurnal) https://heartscience.ub.ac.id/index.php/heartscience/oai, first harvested 8 Nov 2026, last seen 8 Nov 2026.
Original metadata (oai_dc) 
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	<dc:title xml:lang="en">The Predictors of Spontaneous Coronary Reperfusion in Patients with ST-segment Elevation Myocardial Infarction</dc:title>
	<dc:creator xml:lang="en">Ermawan, Romi</dc:creator>
	<dc:creator xml:lang="en">Pintaningrum, Yusra</dc:creator>
	<dc:creator xml:lang="en">Sari, Dian Puspita</dc:creator>
	<dc:creator xml:lang="en">Indrayana, Yanna</dc:creator>
	<dc:creator xml:lang="en">Aprilia, Kartika</dc:creator>
	<dc:subject xml:lang="en">predictors</dc:subject>
	<dc:subject xml:lang="en">spontaneous coronary reperfusion</dc:subject>
	<dc:subject xml:lang="en">ST-segment elevation myocardial infarction</dc:subject>
	<dc:description xml:lang="en">BACKGROUND: In ST-segment elevation myocardial infarction (STEMI) management, some patients undergo spontaneous coronary reperfusion (SCR) with a better prognosis than those without SCR, but predictors for SCR remain unclear.OBJECTIVE: To investigate several potential predictors of SCR, including smoking status, BMI, DAPT loading time, hemoglobin levels, platelet count, random blood sugar levels, uric acid levels, creatinine clearance, and the Syntax score.METHODS: This case-control study was conducted at the West Nusa Tenggara General Hospital in Indonesia from December 2022 to September 2023. Data collection encompassed various patient demographics and clinical parameters, including name, medical record number, age, gender, smoking status, BMI, DAPT loading time, hemoglobin levels, platelet count, random blood sugar, uric acid, creatinine clearance, the Syntax score, and the occurrence of SCR. Statistical analysis for this study involved multivariate logistic regression analysis.RESULTS: A total of thirty-two patients was included, evenly divided into 16 subjects allocated to the SCR group and 16 to the non-SCR group. The analysis indicated that only BMI demonstrated a statistically significant association with SCR occurrence. However, the study did not yield conclusive evidence regarding the influence of smoking status, DAPT loading time, hemoglobin levels, platelet count, random blood sugar levels, uric acid levels, creatinine clearance, and the Syntax score on the likelihood of SCR.CONCLUSION: A normal BMI is identified as a robust predictor for the incidence of SCR in patients diagnosed with STEMI.</dc:description>
	<dc:publisher xml:lang="en">Universitas Brawijaya</dc:publisher>
	<dc:date>2024-07-30</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://heartscience.ub.ac.id/index.php/heartscience/article/view/15805</dc:identifier>
	<dc:identifier>10.21776/ub/hsj.2024.005.03.6</dc:identifier>
	<dc:source xml:lang="en">Heart Science Journal; Vol. 5 No. 3 (2024): The Science and Art of Revascularization in Acute Coronary Syndrome; 34-38</dc:source>
	<dc:source>2721-9984</dc:source>
	<dc:source>2721-9976</dc:source>
	<dc:source>10.21776/ub.hsj.2024.005.03</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://heartscience.ub.ac.id/index.php/heartscience/article/view/15805/418</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2024 Romi Ermawan, Yusra Pintaningrum, Dian Puspita Sari, Yanna Indrayana, Kartika Aprilia</dc:rights>
</oai_dc:dc>