STEMI Versus NSTEMI: Clinical and Angiographic Differences
STEMI Versus NSTEMI: Clinical and Angiographic Differences
The purpose of this study is to assess differences in the risk profile and in the coronary
 angiographic presentation between STEMI and NSTEMI. Moreover possible relationship between
 myocardial infarction presentation and renal function will be investigated.
Assessment of risk profile. Diabetes mellitus diagnosed when fasting blood glucose (FBG) was
 >= 126mg/dL or if patients were taking oral hypoglycaemic drugs or were on insulin treatment.
 Hypertension defined as blood pressure >= 140/90 mmHg or history of antihypertensive
 treatment. Hypercholesterolemia,adjudicated when cholesterol levels were >= 200 mg/dL or with
 patients on lipid lowering treatment. Hypertriglyceridemia adjudicated on fasting
 triglyceride levels>= 200 mg/dL or triglyceride-lowering therapy . Obesity, defined as BMI >=
 30 kg/m2.

 Patients with STEMI, who had not been previously treated with thrombolysis, and those who had
 been undergone to an unsuccessful thrombolysis, as well as patients with NSTEMI with a TIMI
 score> 3 who were immediately referred to the Cat Lab and whenever possible treated with PTCA
 and stenting of the culprit lesion. The other patients who were referred to Cat Lab within 48
 hours from the beginning of chest pain, unless their general conditions did not strongly
 suggest to delay the procedure after 2 more days.
Inclusion Criteria:

 -  Patients admitted in the coronary care unit (CCU) of the Department of Clinical and
 Experimental Medicine at the Federico 2nd University Hospital;

 -  Patient with indication to angiographic study even if not immediately;

 -  Patients referred to CCU with the diagnosis of acute myocardial infraction (AMI), type
 STEMI, or NSTEMI, based on pre-admission assessment of troponin I (TpI) and myocardial
 band creatin kinase (CK-MB;

 -  Diagnosis of NSTEMI/STEMI performed according to standard criteria

 Exclusion criteria:

 -  Patients who could not undergo angiographic study