Research Article
Primary Angioplasty in a Catastrophic Presentation: Acute Left Main Coronary Total Occlusion—The ATOLMA Registry
Table 1
Clinical and angiographic characteristics.
| | | Overall (n = 46) | In-hospital mortality | | Yes (n = 27) | No (n = 19) | |
| | Age, y (SD) | 62.8 ± 12 | 65 ± 5 | 59 ± 4.8 | 0.1 | | Male, n (%) | 36 (78) | 20 (74) | 16 (84) | 0.5 | | Diabetes, n (%) | 7 (15.2) | 6 (22) | 1 (5) | 0.2 | | Hypertension, n (%) | 16 (34.8) | 7 (37) | 9(33) | 0.8 | | Dyslipidemia, n (%) | 12 (26.1) | 9 (33) | 3 (16) | 0.2 | | Smoking, n (%) | 23 (50) | 12 (44) | 11 (58) | 0.3 | | Prior IC (%) | 3 (6.5) | 3 (11) | 0 (0) | 0.25 |
| | Presentation (%) | | | | | | Cardiogenic shock | 41 (89) | 26 (96) | 15 (79) | 0.08 | | Heart rate (bpm) | 106.5 ± 15 | 109 ± 14 | 102 ± 15 | 0.2 | | Systolic blood pressure (mmHg) | 70.5 ± 20 | 67 ± 17 | 75.5 ± 24 | 0.3 | | Cardiac arrest at presentation | 8 (17.4) | 4 (15) | 4 (21) | 0.5 | | Ventricular tachyarrhythmia | 17 (37) | 10 (37) | 7 (37) | 1 | | TIMI flow 0 at presentation | 100% | 27 (100) | 19 (100) | 1 | | Multivessel disease | 21 (45.7) | 11 (41) | 11 (58) | 0.37 | | Right coronary disease | 9 (19.6) | 4 (15) | 5 (26) | 0.45 | | Right coronary dominance | 46 (100%) | 27 (100) | 19 (100) | 1 | | Rentrop 0 | 17/23 (74) | 15 (79) | 2 (50) | 0.2 | | Symptom to balloon | 187 ± 51 | 208.5 ± 81 | 158 ± 49 | 0.3 | | FMC to balloon | 117 ± 52 | 139.7 ± 90 | 87.7 ± 19 | 0.3 |
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Data available from 23 patients. IC: ischemic cardiopathy; OTI: orotracheal intubation; CC: collateral circulation; FMC: first medical contact. |
