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Prevalence of aortic valve stenosis in patients with ST-segment elevation myocardial infarction and effect on long-term outcome

The American Journal of Cardiology Jun 24, 2021

Singh GK, van der Bijl P, Goedemans L, et al. - Researchers assessed not only the prevalence but also the prognostic implications of aortic valve stenosis (AS) in patients presenting with ST-segment elevation myocardial infarction (STEMI). Participants were 2041 patients (61 ± 12 years old, 76% male) admitted with STEMI and managed with primary percutaneous coronary intervention. Participants were split in 3 groups: 1) any grade of AS, 2) aortic valve sclerosis and 3) normal aortic valve. AS prevalence was estimated to be 2.7% in the overall population and rose with age (1%, 3%, 7% and 16%, in the patients aged <65 years, 65 to 74 years, 75 to 84 years and ≥85 years, respectively). Overall, presence of AS in STEMI patients was not an uncommon finding. Among those with first STEMI, concomitant AS was shown to be independently related to all-cause mortality at long-term follow up.

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