Relation between Preinfarction Angina and Coronary Collateral Circulation in Patients with Acute Myocardial Infarction
Abstract
Background: Coronary collateral circulation conduits an alternative blood flow to the ischemic myocardium in the setting of coronary artery occlusion which can prevent the infarction area to extend more widely. Well-developed coronary collaterals are closely related with the presence of preinfarction angina. However, the duration of preinfarction angina which can induce well-developed coronary collateralization is in controversy. The aim of this study was to evaluate the relation between duration of preinfarction angina and coronary collaterals circulation in patients with acute myocardial infarction.
Methods: This cross-sectional study was conducted from May to November 2013 in Dr. Hasan Sadikin General Hospital, Bandung, Indonesia. Seventy three acute myocardial infarction (AMI) patients were included in the study. The patients were divided into Group 1 (<7 days) and Group 2 (≥7 days) based on their preinfarction angina history. The coronary collaterals were assesed and graded as good (Rentrop score 2−3) and poor (Rentrop score 0−1).Statistical analysis was performed using the chi-square test.
Result: The presence of a well-developed coronary collateral was not significantly different in <7days than ≥7 days duration of preinfarction angina [50.8% v 75.0%, p=0.124].
Conclusions: There is no relation between the duration of preinfarction angina and coronary collaterals circulation in patients with acute myocardial infarction. [AMJ.2016;3(1):28–33]
DOI: 10.15850/amj.v3n1.709
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Kumar V, Abbas AK, Fausto N, Aster JC, editors. Robbins and Cotran: pathologic basis of disease. 8th ed. Philadelphia: WB Saunders; 2010. p. 660−71.
Plein S, John F Younger, Sparrow P, Ridgway JP, Ball SG, Greenwood JP. Cardiovascular magnetic resonance of scar and ischemia burden early after acute ST elevation and non-ST elevation myocardial infarction. J Cardiovasc Magn Reson. 2008;10:47−56.
Shen Y, Wu F, Pan C, Zhu T, Zhang Q, Zhang R, et al. Clinical relevance of angiographic coronary collaterals during primary coronary intervention sor acute ST-elevation myocaldial infarction. Chin Med J. 2014;127(1):66−71.
Steg PG, Kerner A, Mancini GBJ, Reynolds HR, Carvalho AC, Fridrich V, et al. Impact of collateral flow to the occluded infarct-related artery on clinical outcomes in patients with recent myocardial infarction. A Report from the randomized occluded artery trial. Circulation. 2010;121(25):2724−30.
Meier P, Hemingway H, Lansky AJ, Knapp G, Pitt B, Seiler C. The impact of the coronary collateral circulation on mortality: a meta-analysis. Eur Heart J. 2011;33(5):614−21.
Herlitz J, Karlson B, Richter A. Occurrence of angina pectoris prior to acute myocardial infarction and its relation to prognosis. Eur Heart J. 1993;14:484−91.
Steen H, Giannitsis E, Futterer S, Merten C, Juenger C, Katus HA. Cardiac troponin T at 96 hours after acute myocardial infarction correlates with infarct size and cardiac function. J Am Coll Cardiol. 2006;48(11):2192−4.
Giannitsis E, Steen H, Kurz K, Ivandic B, Simon AC, Futterer S, et al. Cardiac magnetic resonance imaging study for quantification of infarct size comparing directly serial versus single time-point measurements of cardiac troponin T. J Am Coll Cardiol. 2008;51(3):307−14.
Traupe T, Gloekler S, Marchi SFd, Werner GS, Seiler C. Assesment of the human coronary collateral circulation. Circulation. 2010;122:1210−20.
Ng S, Soerianata S, Andriantoro H, Ottervanger JP, Grobbee DE. Timing of coronary collateral appearance during ST-elevation myocardial infarction. Interv Cardiol. 2012;4(1):137−43.
Thygesen K, Alpert JS, White HD, Jaffe AS, Katus HA, Apple FS, et al. Expert consensus document: third universal definition of myocardial infarction. J Am Coll Cardiol. 2012;60(X):2528−38.
Tanboga IH, Topcu S, Nacar T, Aksakal E, Kalkan K, Kiki I, et al. Relation of coronary collateral circulation with red cell distribution width in patients with non-ST elevation myocardial infarction. Clin Appl Thromb Hemost. 2012;0(0):1─5.
Schwartz H, Leiboff RH, Bren GB, Wasserman AG, Katz RJ. Temporal evolution of the human coronary collateral circulation after myocardial infarction. J Am Coll Cardiol. 1984;4(6):1088−93.
Lonborg J, Kelbaek H, Vejlstrup N, Botker HE. Influence of preinfarction angina, collateral flow, and pre-procedural TIMI flow on myocardial salvage index by cardiac magnetic resonance in patients with ST-segment elevation myocardial infarction. Eur Heart J. 2012;13:433−43.
Antoniucci D, Valenti R, Moschi G. Relation between preintervention angiographic evidence of coronary collateral circulation and clinical and angiographic outcomes after primary angioplasty or stenting for acute myocardial infarction. J Am Coll Cardiol. 2002;89:121−5.
Koerselma J, Graaf Yvd, Jaegere PPTd, Grobbee DE. Coronary collaterals: An important and underexposed aspect of coronary artery disease. Circulation. 2003;107:2507−11.
Lavine KJ, Kovacs A, Weinheimer C, Mann DL. Repetitive myocardial ischemia promotes coronary growth in the adult mamalian heart. J Am Heart Assoc. 2013;2(5):1−30.
Schaper W. Collateral circulation: past and present. Basic Res Cardiol. 2009;104(1):5–21.
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