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The predictive value of PRECISE-DAPT score for arrhythmic complications in patients with ST-elevation myocardial infarction

Yildirim, Ersina; Turkkan, Ceyhanb; Ozcan, Kazim Serhanb; Ceylan, Ufuk Sadikb; Zengin, Ahmeta

doi: 10.1097/MCA.0000000000000788
Myocardial Infarction
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Objective: To investigate the predictive value of the PRECISE-DAPT score for the development of arrhythmias in patients with ST-segment elevation myocardial infarction undergoing primary percutaneous coronary intervention.

Method: A total of 706 patients with a diagnosis of ST-segment elevation myocardial infarction who underwent primary percutaneous coronary intervention were enrolled to the study. The patients were divided into two groups according to the PRECISE-DAPT score (PRECISE-DAPT score 25 and PRECISE-DAPT score <25). The patients were compared in terms of in-hospital arrhythmia.

Results: High-degree atrioventricular block (second-degree Mobitz II or third-degree atrioventricular block) (17.2% vs. 4.9%; P < 0.001), ventricular tachycardia (11.2% vs. 4.6%; P = 0.005) and atrial fibrillation (13.8% vs. 3.1%; P < 0.001) rates were statistically higher in patients with higher PRECISE-DAPT score (≥25). There was no difference between the groups in terms of ventricular fibrillation (9.5% vs. 8.3%; P = 0.678). In multivariable logistic regression analysis; PRECISE-DAPT Score was independently associated with high-degree atrioventricular block (odds ratio: 6.38, P < 0.001) and atrial fibrillation (odds ratio: 4.33, P < 0.001).

Conclusion: The PRECISE-DAPT score was associated with high-degree atrioventricular block and atrial fibrillation in patients with ST-segment elevation myocardial infarction underwent percutaneous coronary intervention.

aDepartment of Cardiology, University of Health Sciences, Istanbul Umraniye Education and Research Hospital

bDepartment of Cardiology, University of Health Sciences, Istanbul Dr. Siyami Ersek Education and Research Hospital, Istanbul, Turkey

Received 25 December 2018 Accepted 1 July 2019

Correspondence to Ersin Yildirim, MD, Atatürk mah, Firat cad. 71, Ada. Gardenya 6 Sitesi. H blok, Daire 42, 34750 Ataşehir/İstanbul, Turkey, Tel: +90 5370466515; fax: +90 216 3379719; e-mail: ersinyil44@gmail.com

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