Mild myocardial injury during percutaneous coronary intervention based on minor changes on electrocardiogram and
Illya A Chaikovsky1,2, Dmytro O Dziuba1, Olga A Kryvova3
1Department of Anaesthesiology and Intensive Care, Shupyk National Healthcare University, Kyiv 04112, Ukraine.
Insights
A new electrocardiogram (ECG) metric effectively detects subtle myocardial injuries after percutaneous coronary intervention (PCI). This tool also identifies links between cardiac damage and psychoemotional distress in patients undergoing stenting.
Area of Science:
- Cardiology
- Medical Technology
Background:
- Global cardiovascular mortality necessitates advanced treatments like percutaneous coronary intervention (PCI) with stent placement.
- PCI, while effective, carries risks of coronary vessel and myocardial damage due to its invasive nature.
Purpose of the Study:
- To assess a novel electrocardiographic (ECG) metric for detecting subtle myocardial injuries post-PCI.
- To explore the relationship between ECG changes and psychoemotional state after coronary stenting.
Main Methods:
- A study involving 23 patients undergoing PCI at the Kyiv Heart Institute.
- Paired 3-minute ECG recordings were taken pre- and post-procedure, analyzing 240 ECG parameters.
- A novel ECG index was introduced to evaluate myocardial damage.
Main Results:
- A subgroup with significant post-stenting myocardial damage was identified, characterized by older age and more stents.
- A correlation was observed between ECG alterations, myocardial damage, and a reduced psychoemotional state index.
- The new ECG index successfully highlighted subtle myocardial damage from PCI.
Conclusions:
- The novel ECG metric aids in early detection of myocardial damage following PCI.
- This metric can identify both physiological and psychoemotional changes associated with PCI.
- It represents a significant advancement in monitoring patients after coronary stenting procedures.
Background:
As cardiovascular mortality continues to increase globally, percutaneous coronary intervention (PCI) with stent placement stands out as a cutting-edge and highly effective treatment for severe cardiovascular diseases. However, the inherent invasiveness of any endovascular procedure introduces the risk of coronary vessel and myocardial damage.
Aim:
To evaluate the utility of a novel electrocardiographic metric in detecting subtle myocardial injuries after coronary stenting.
Methods:
This investigation was conducted in 2021 at the Kyiv Heart Institute of the Ministry of Healthcare of Ukraine. The study involved 23 patients who underwent PCI, each subjected to a meticulous preoperative examination. A paired measurement approach was employed, encompassing 3-minutes electrocardiogram (ECG) recordings both before and several hours following the operation, using a compact ECG device. Each pair of ECG underwent a thorough analysis, scrutinizing 240 primary and computed ECG parameters.
Results:
The analysis delineated a distinct subgroup exhibiting significant myocardial damage post-stenting. This subgroup was characterized by an older average age and more stents than their counterparts. Notably, a concurrent reduction in the psychoemotional state index was observed alongside the ECG alterations in these patients, suggesting a correlation between myocardial damage and psychoemotional distress. Introducing a new electrocardiographic index has illuminated the often-subtle myocardial damage incurred during PCI.
Conclusion:
The newly devised electrocardiographic metric is a significant advancement in the early detection of myocardial damage following PCI, able to capture not only physiological but also psychoemotional changes.
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