Table 3. Independent predictors of angiographic and electrographic no-reflow .
Variables | Angiographic reperfusion | Electrocardiographic reperfusion | ||||||
No-reflow | No-reflow | |||||||
Univariate | Multivariate* | Univariate | Multivariate* | |||||
OR (95% CI) | p | OR (95% CI) | p | OR (95% CI) | p | OR (95% CI) | p | |
GFR < 60 ml/min/1.73 m | 10.4 (2.5-43) | < 0.001 | 14.8 (1.9-116) | 0.01 | 0.9 (0.3-3.5) | 0.9 | - | - |
Anemia | 2.3 (0.6-9) | 0.2 | - | - | 1.6 (0.6-4.2) | 0.33 | - | - |
Age (per year) | 1.02 (0.97-1.07) | 0.33 | - | - | 0.98 (0.94-1) | 0.3 | - | - |
Diabetes mellitus | 0.5 (0.1-2.6) | 0.43 | - | - | 1.3 (0.4-3.9) | 0.5 | - | - |
Hypertension | 6.2 (1.2-30.9) | 0.03 | 10.5 (0.9-121) | 0.06 | 0.5 (0.2-1.2) | 0.15 | - | - |
Smoking | 0.28 (0.07-1.15) | 0.08 | 0.2 (0.02-1.9) | 0.17 | 1.67 (0.6-4.3) | 0.28 | - | - |
Previous MI | 6.5 (1.6-27.7) | 0.01 | 4.8 (0.4-56) | 0.21 | 1.02 (0.3-2.8) | 0.9 | - | - |
PCI history | 4.2 (1.0-17.4) | 0.04 | 0.3 (0.02-6) | 0.48 | 1.3 (0.5-3.4) | 0.6 | - | - |
Killip class > 1 | 3.1 (0.7-14) | 0.14 | 3.4 (0.2-35) | 0.3 | 2.1 (0.6-7.5) | 0.2 | - | - |
Pain to balloon time | 0.99 (0.9-1.1) | 0.8 | - | - | 1.12 (1-1.22) | 0.002 | 1.12 (1-1.22) | 0.002 |
Tirofiban use | 0.16 (0.02-1.3) | 0.09 | 0.08 (0.06-1.2) | 0.07 | 0.2 (0.7-5.5) | 0.2 | - | - |
Predilatation | 7.2 (0.9-59) | 0.06 | 11 (0.6-189) | 0.09 | 1 (0.4-2.6) | 0.9 | - | - |
Stent diameter | 1.4 (0.2-8.6) | 0.7 | - | - | 2.1 (0.6-6.9) | 0.2 | - | - |
Stent length | 1.01 (0.8-1.2) | 0.8 | - | - | 1.02 (0.9-1.1) | 0.2 | - | - |
Final balloon pressure | 0.9 (0.8-0.99) | 0.04 | 0.9 (0.8-1.1) | 0.6 | 0.9 (0.86-1) | 0.18 | - | - |
CI, confidence interval; eGFR, estimated glomerular filtration rate; MI,miyocardial infarction; OR, odds ratio; PCI, percutaneous coronary intervention.
* Adjusted for killip class, eGFR, hypertension, smoking, previous MI and intervention history, tirofiban use, predilatation, final balloon pressure and pain to balloon time.