Table 2.
Variable | Surgery (n = 88) | Conservative (n = 47) | P |
---|---|---|---|
Anterior AMI | 40 (45.5%) | 27 (57.5%) | 0.184 |
Inferior AMI | 47 (53.4%) | 21 (44.7%) | 0.334 |
Coronarography | 80 (90.9%) | 30 (65.2%) | < 0.001 |
Culprit lesion: | 0.407 | ||
LMCA | 1 (1.3%) | 0 | |
LAD | 33 (42.3%) | 13 (41.9%) | |
CX | 3 (3.9%) | 0 | |
RCA | 39 (50.0%) | 16 (51.6%) | |
Diffuse disease | 1 (1.3%) | 0 | |
No significant | 1 (1.3%) | 2 (6.5%) | |
Dominant RCA | 59 (78.7%) | 22 (81.5%) | 0.613 |
Revascularization | 61 (69.3%) | 23 (48.9%) | 0.020 |
CABG | 33 (37.5%) | 2 (4.2%) | < 0.001 |
PCI | 39 (44.3%) | 22 (50.0%) | 0.537 |
LVEF post-AMI | 44.3; 11.0 | 42.7; 11.4 | 0.429 |
Mechanical complication associated: | |||
Free wall rupture | 8 (9.4%) | 1 (2.2%) | |
Papillary muscle rupture | 2 (2.4%) | 1 (2.2%) | |
Pseudoaneurysm | 2 (4.4%) | 0.320 | |
Apical VSR | 53 (61.6%) | 31 (72.1%) | 0.240 |
Basal VSR | 37 (43.0%) | 13 (31.0%) | 0.189 |
VSR size [cm]* | 1.5 (1–2) | 1.5 (1–1.7) | 0.717 |
Patients with VSR diagnosis > 1 day after AMI diagnosis | 31 (35.2%) | 12 (26.7%) | 0.318 |
Patients with VSR diagnosis > 1 day after onset of symptoms | 42 (48.8%) | 21 (45.7%) | 0.727 |
Non-normal distribution. The data are expressed as mean ± standard deviation and median [interquartile range] or number (percentage);
AMI — acute myocardial infarction; CABG — coronary artery bypass grafting; LAD — left anterior descending artery; LMCA — left main coronary artery; LVEF — left ventricular ejection fraction; CX — circumflex artery; RCA — right coronary artery; VSR — ventricular septal rupture; PCI — percutaneous coronary intervention