Influencing Factors of Non-culprit Vessel Lesion Progression after Percutaneous Coronary Intervention in Patients with Acute ST-segment Elevation Myocardial Infarction
ZHU Kongwei
WANG Ping
Abstract：Objective To explore the influencing factors of non-culprit vessel lesion progression in patients with acute ST-segment elevation myocardial infarction(STEMI)after percutaneous coronary intervention(PCI).Methods The clinical data of 80 patients with acute STEMI who underwent PCI treatment in Gushi County People's Hospital from October 2022 to December 2024 were retrospectively collected.The patients were divided into a progression group and a non-progression group based on the results of coronary angiography 6 months after the operation.General data of the two groups were compared,and the influencing factors of non-culprit vessel lesion progression in patients with acute STEMI after PCI were analyzed.Results Among the 80 patients with acute STEMI who underwent PCI,39 patients had non-culprit vessel lesion progression,while 41 patients did not have non-culprit vessel lesion progression.The age,proportion of diabetes,fasting blood glucose,fibrinogen(FIB),and low-density lipoprotein of the progression group were significantly higher than those of the non-progression group,with statistically significant differences(P<0.05).There were no statistically significant differences in other general data and laboratory indicators between the two groups(P>0.05).Multivariate Logistic regression analysis showed that age,history of diabetes,fasting blood glucose,FIB,and low-density lipoprotein were the influencing factors of non-culprit vessel lesion progression in patients with acute STEMI after PCI(P<0.05).Conclusion Age,history of diabetes,fasting blood glucose,FIB,and low-density lipoprotein are the influencing factors of non-culprit vessel lesion progression in patients with acute STEMI after PCI.
Keywords：Acute ST-segment elevation myocardial infarctionPercutaneous coronary interventionNon-culprit vessel lesionInfluencing factors
Publication Date：2025-10-15
Online Publishing Date：2025-12-29(First online date of this platform, not the publication date of the document)
Pages：4( 27-30 )