Myocardial blush grade: T evaluate myocardial viability in patients with cute myocardial lnfarction

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dc.contributor.authorSeyfeli, Ergun
dc.contributor.authorAbaci, Adrian
dc.contributor.authorKula, Mustafa
dc.contributor.authorTopsakal, Ramazan
dc.contributor.authorEryol, Namik K.
dc.contributor.authorArinc, Huseyin
dc.contributor.authorOzdogru, Ibrahim
dc.date.accessioned2024-09-18T21:06:30Z
dc.date.available2024-09-18T21:06:30Z
dc.date.issued2007
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractMyocardial blush grade (MBG) is used to assess myocardial perfusion in the infarcted myocardium. The purpose of this study was to determine whether the analysis of myocardial blush grade after resolution of the acute phase of myocardial infarction is useful for assessing myocardial viability. The present study is consisted of 64 patients (55 men, mean age 55 11 years) who had acute myocardial infarction and nonoccluded stenosis (>50%) in an infarct-related artery. All the patients had thrombolysis in myocardial infarction (TIMI)-3 flow in the infarct-related artery on coronary angiograms. Myocardial viability was determined by single-photon emission computed tomography (SPECT) within the same week after coronary angiograms. MBG 0 in 5 (8%) patients, grade 1 in 10 (16%) patients, grade 2 in 23 (36%) patients, and grade 3 in 26 (40%) patients were present. Fifty-four (84%) of 64 patients showed myocardial viability by SPECT. Myocardial viability was demonstrated in 1 1 of 15 patients (74%) with MBG 011 and 43 of 49 patients (88%) with MBG 2/3. There was a weak relation between MBG and myocardial viability by correlation analysis (r = 0.28, p = 0.025). If MBG 0 and 1 are regarded as a sign of nonviable myocardium, and if MBG 2 and 3 are regarded as a sign of viable myocardium, the sensitivity of MBG for the prediction of myocardial viability was 79%, specificity was 40%, positive predictive value was 88%, and negative predictive value was 27%. MBG has a weak correlation with myocardial viability. Although sensitivity is fairly good, specificity is very low. We concluded that the diagnostic value of MBG is limited to detect myocardial viability in the infarcted region.en_US
dc.identifier.doi10.1177/0003319707307846
dc.identifier.endpage560en_US
dc.identifier.issn0003-3197
dc.identifier.issn1940-1574
dc.identifier.issue5en_US
dc.identifier.pmid18024938en_US
dc.identifier.scopus2-s2.0-35448931580en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage556en_US
dc.identifier.urihttps://doi.org/10.1177/0003319707307846
dc.identifier.urihttps://hdl.handle.net/20.500.12483/13653
dc.identifier.volume58en_US
dc.identifier.wosWOS:000250393000006en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSage Publications Incen_US
dc.relation.ispartofAngiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPrimary Coronary Angioplastyen_US
dc.subjectLeft-Ventricular Dysfunctionen_US
dc.subjectNo-Reflow Phenomenonen_US
dc.subjectViable Myocardiumen_US
dc.subjectPerfusion Gradeen_US
dc.subjectDobutamine Echocardiographyen_US
dc.subjectAngiographic Assessmenten_US
dc.subjectStunned Myocardiumen_US
dc.subjectArtery-Diseaseen_US
dc.subjectFrame Counten_US
dc.titleMyocardial blush grade: T evaluate myocardial viability in patients with cute myocardial lnfarctionen_US
dc.typeArticleen_US

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