BetaMi final

Table One Patients Characteristics (ACS vs CCS)

Characteristic Overall, N = 501 CCS, N = 101 STEMI, N = 401 p-value2
Age 62 (8) 64 (10) 62 (8) 0.7
Gender


0.4
    Female 9 / 50 (18%) 3 / 10 (30%) 6 / 40 (15%)
    Male 41 / 50 (82%) 7 / 10 (70%) 34 / 40 (85%)
Height (cm) 164 (20) 160 (23) 165 (19) 0.4
Weight (kg) 84 (28) 84 (41) 84 (25) 0.3
BMI 39 (49) 43 (53) 38 (49) 0.7
BSA 1.89 (0.19) 1.83 (0.22) 1.90 (0.18) 0.3
P2Y12i_intention


<0.001
    1 21 / 50 (42%) 0 / 10 (0%) 21 / 40 (53%)
    2 19 / 50 (38%) 0 / 10 (0%) 19 / 40 (48%)
    3 10 / 50 (20%) 10 / 10 (100%) 0 / 40 (0%)
Family History of CV Disease 28 / 50 (56%) 8 / 10 (80%) 20 / 40 (50%) 0.2
Diabetes Mellitus 6 / 50 (12%) 1 / 10 (10%) 5 / 40 (13%) >0.9
Hypertension 33 / 50 (66%) 9 / 10 (90%) 24 / 40 (60%) 0.13
Dyslipidemia 38 / 50 (76%) 10 / 10 (100%) 28 / 40 (70%) 0.092
Smoking


0.3
    Current 25 / 50 (50%) 3 / 10 (30%) 22 / 40 (55%)
    Former Smoker 10 / 50 (20%) 2 / 10 (20%) 8 / 40 (20%)
    No 15 / 50 (30%) 5 / 10 (50%) 10 / 40 (25%)
Physical Activity


0.5
    Light Activity (1-3 days per week) 31 / 50 (62%) 8 / 10 (80%) 23 / 40 (58%)
    Light Activity (4-7 days per week) 5 / 50 (10%) 0 / 10 (0%) 5 / 40 (13%)
    No 9 / 50 (18%) 2 / 10 (20%) 7 / 40 (18%)
    Normal Training (1-2 days per week) 5 / 50 (10%) 0 / 10 (0%) 5 / 40 (13%)
Peripheral Arterial Disease 1 / 50 (2.0%) 1 / 10 (10%) 0 / 40 (0%) 0.2
Carotid Artery Disease 6 / 50 (12%) 5 / 10 (50%) 1 / 40 (2.5%) <0.001
Chronic Kidney Disease 1 / 50 (2.0%) 1 / 10 (10%) 0 / 40 (0%) 0.2
Thyroid Dysfunction


0.3
    Hypothyroidism 5 / 50 (10%) 2 / 10 (20%) 3 / 40 (7.5%)
    No 45 / 50 (90%) 8 / 10 (80%) 37 / 40 (93%)
Chronic Obstructive Pulmonary Disease 2 / 50 (4.0%) 1 / 10 (10%) 1 / 40 (2.5%) 0.4
Atrial Fibrillation


0.2
    No 49 / 50 (98%) 9 / 10 (90%) 40 / 40 (100%)
    Paroxysmal 1 / 50 (2.0%) 1 / 10 (10%) 0 / 40 (0%)
Cancer History 2 / 49 (4.1%) 0 / 9 (0%) 2 / 40 (5.0%) >0.9
Rheumatological or Autoimmune Disease 5 / 50 (10%) 0 / 10 (0%) 5 / 40 (13%) 0.6
History of Anxiety 1 / 50 (2.0%) 0 / 10 (0%) 1 / 40 (2.5%) >0.9
Aspirin 12 / 50 (24%) 6 / 10 (60%) 6 / 40 (15%) 0.007
Statins 15 / 50 (30%) 6 / 10 (60%) 9 / 40 (23%) 0.048
ACE Inhibitors 19 / 50 (38%) 6 / 10 (60%) 13 / 40 (33%) 0.2
ATII Antagonists 4 / 49 (8.2%) 0 / 9 (0%) 4 / 40 (10%) >0.9
Beta Blockers 13 / 50 (26%) 4 / 10 (40%) 9 / 40 (23%) 0.4
Antiarrhythmic Drugs 1 / 50 (2.0%) 1 / 10 (10%) 0 / 40 (0%) 0.2
Calcium Antagonists 14 / 50 (28%) 5 / 10 (50%) 9 / 40 (23%) 0.12
Nitrates 2 / 50 (4.0%) 1 / 10 (10%) 1 / 40 (2.5%) 0.4
Diuretics 8 / 50 (16%) 2 / 10 (20%) 6 / 40 (15%) 0.7
Insulin 2 / 49 (4.1%) 1 / 10 (10%) 1 / 39 (2.6%) 0.4
Oral Antidiabetic Drugs 3 / 50 (6.0%) 1 / 10 (10%) 2 / 40 (5.0%) 0.5
NSAIDs 2 / 50 (4.0%) 0 / 10 (0%) 2 / 40 (5.0%) >0.9
Antidepressant Drugs 1 / 49 (2.0%) 0 / 10 (0%) 1 / 39 (2.6%) >0.9
Proton Pump Inhibitors 7 / 50 (14%) 3 / 10 (30%) 4 / 40 (10%) 0.13
Creatinine 0.83 (0.20) 0.75 (0.17) 0.85 (0.20) 0.3
Sodium 137.78 (3.04) 138.40 (3.50) 137.63 (2.94) 0.3
Potassium 4.17 (0.37) 4.30 (0.27) 4.14 (0.39) 0.2
Phosphate 3.05 (0.73) 3.60 (NA) 3.02 (0.74) 0.3
Calcium 9.41 (0.48) 10.00 (NA) 9.38 (0.47) 0.2
Glucose 150 (92) 146 (158) 152 (65) 0.006
Glycohemoglobin 7.37 (2.92) 8.33 (4.22) 7.22 (2.79) 0.8
CRP 0.86 (1.84) 0.57 (0.93) 0.93 (2.00) 0.2
AST 168 (226) 22 (7) 205 (240) <0.001
ALT 40 (28) 23 (14) 44 (30) 0.008
Total Bilirubin 0.67 (0.39) 0.45 (0.27) 0.69 (0.40) 0.4
Direct Bilirubin 0.26 (0.13) 0.23 (0.13) 0.26 (0.13) 0.8
PT 104 (15) 113 (15) 102 (14) 0.2
INR 0.99 (0.10) 0.94 (0.07) 1.00 (0.10) 0.15
APTT 42 (34) 29 (2) 45 (38) 0.5
Hemoglobin 15.13 (1.31) 14.93 (1.00) 15.18 (1.38) 0.7
RBC 4,964,600 (456,867) 4,888,000 (201,979) 4,983,750 (500,951) 0.4
WBC 10,681 (3,202) 6,863 (1,561) 11,636 (2,766) <0.001
Platelets 237,200 (63,690) 235,600 (38,103) 237,600 (68,997) 0.9
Cholesterol 193 (50) 183 (86) 195 (37) 0.071
LDL 120 (47) 105 (78) 124 (36) 0.030
HDL 44 (26) 51 (20) 42 (27) 0.14
Triglycerides 148 (82) 138 (103) 150 (78) 0.11
hsTnT 980 (31 - 4,826) 15 (10 - 19) 2,070 (442 - 6,123) <0.001
CK-MB 75 (18 - 212) 13 (11 - 14) 120 (32 - 264) <0.001
NT-proBNP 411 (89 - 1,134) 88 (79 - 189) 635 (250 - 1,418) 0.042
1 Mean (SD); n / N (%); Median (IQR)
2 Wilcoxon rank sum test; Fisher’s exact test; Wilcoxon rank sum exact test
Characteristic N = 501
Age 62 (8)
Gender
    Female 9 / 50 (18%)
    Male 41 / 50 (82%)
Height (cm) 164 (20)
Weight (kg) 84 (28)
BMI 39 (49)
BSA 1.89 (0.19)
type
    CCS 10 / 50 (20%)
    STEMI 40 / 50 (80%)
P2Y12i_intention
    1 21 / 50 (42%)
    2 19 / 50 (38%)
    3 10 / 50 (20%)
Family History of CV Disease 28 / 50 (56%)
Diabetes Mellitus 6 / 50 (12%)
Hypertension 33 / 50 (66%)
Dyslipidemia 38 / 50 (76%)
Smoking
    Current 25 / 50 (50%)
    Former Smoker 10 / 50 (20%)
    No 15 / 50 (30%)
Physical Activity
    Light Activity (1-3 days per week) 31 / 50 (62%)
    Light Activity (4-7 days per week) 5 / 50 (10%)
    No 9 / 50 (18%)
    Normal Training (1-2 days per week) 5 / 50 (10%)
Peripheral Arterial Disease 1 / 50 (2.0%)
Carotid Artery Disease 6 / 50 (12%)
Chronic Kidney Disease 1 / 50 (2.0%)
Thyroid Dysfunction
    Hypothyroidism 5 / 50 (10%)
    No 45 / 50 (90%)
Chronic Obstructive Pulmonary Disease 2 / 50 (4.0%)
Atrial Fibrillation
    No 49 / 50 (98%)
    Paroxysmal 1 / 50 (2.0%)
Cancer History 2 / 49 (4.1%)
Rheumatological or Autoimmune Disease 5 / 50 (10%)
History of Anxiety 1 / 50 (2.0%)
Aspirin 12 / 50 (24%)
Statins 15 / 50 (30%)
ACE Inhibitors 19 / 50 (38%)
ATII Antagonists 4 / 49 (8.2%)
Beta Blockers 13 / 50 (26%)
Antiarrhythmic Drugs 1 / 50 (2.0%)
Calcium Antagonists 14 / 50 (28%)
Nitrates 2 / 50 (4.0%)
Diuretics 8 / 50 (16%)
Insulin 2 / 49 (4.1%)
Oral Antidiabetic Drugs 3 / 50 (6.0%)
NSAIDs 2 / 50 (4.0%)
Antidepressant Drugs 1 / 49 (2.0%)
Proton Pump Inhibitors 7 / 50 (14%)
Creatinine 0.83 (0.20)
Sodium 137.78 (3.04)
Potassium 4.17 (0.37)
Phosphate 3.05 (0.73)
Calcium 9.41 (0.48)
Glucose 150 (92)
Glycohemoglobin 7.37 (2.92)
CRP 0.86 (1.84)
AST 168 (226)
ALT 40 (28)
Total Bilirubin 0.67 (0.39)
Direct Bilirubin 0.26 (0.13)
PT 104 (15)
INR 0.99 (0.10)
APTT 42 (34)
Hemoglobin 15.13 (1.31)
RBC 4,964,600 (456,867)
WBC 10,681 (3,202)
Platelets 237,200 (63,690)
Cholesterol 193 (50)
LDL 120 (47)
HDL 44 (26)
Triglycerides 148 (82)
hsTnT 980 (31 - 4,826)
CK-MB 75 (18 - 212)
NT-proBNP 411 (89 - 1,134)
1 Mean (SD); n / N (%); Median (IQR)

Characteristic Overall, N = 501 CCS, N = 101 STEMI, N = 401 p-value2
P2Y12i_intention


<0.001
    1 21 / 50 (42%) 0 / 10 (0%) 21 / 40 (53%)
    2 19 / 50 (38%) 0 / 10 (0%) 19 / 40 (48%)
    3 10 / 50 (20%) 10 / 10 (100%) 0 / 40 (0%)
Pain to Cath Lab Time (min) 248 (207) NA (NA) 248 (207)
First Medical Contact to Cath Lab Time (min) 79 (83) NA (NA) 79 (83)
ST Elevation Location: Anterior 17 / 40 (43%) 0 / 0 (NA%) 17 / 40 (43%) >0.9
ST Elevation Location: Inferior 22 / 40 (55%) 0 / 0 (NA%) 22 / 40 (55%) >0.9
ST Elevation Location: Lateral 10 / 40 (25%) 0 / 0 (NA%) 10 / 40 (25%) >0.9
ST Elevation Location: Posterior 12 / 40 (30%) 0 / 0 (NA%) 12 / 40 (30%) >0.9
Rhythm at Arrival


>0.9
    Other 1 / 50 (2.0%) 0 / 10 (0%) 1 / 40 (2.5%)
    Sinus Rhythm 49 / 50 (98%) 10 / 10 (100%) 39 / 40 (98%)
Max ST Segment Elevation


>0.9
    aVF 3 / 40 (7.5%) 0 / 0 (NA%) 3 / 40 (7.5%)
    III 17 / 40 (43%) 0 / 0 (NA%) 17 / 40 (43%)
    V2 3 / 40 (7.5%) 0 / 0 (NA%) 3 / 40 (7.5%)
    V3 7 / 40 (18%) 0 / 0 (NA%) 7 / 40 (18%)
    V4 7 / 40 (18%) 0 / 0 (NA%) 7 / 40 (18%)
    V6 3 / 40 (7.5%) 0 / 0 (NA%) 3 / 40 (7.5%)
Max ST Deviation (mm) 3.10 (2.01) NA (NA) 3.10 (2.01)
Total Leads with ST Elevation 3.95 (1.80) NA (NA) 3.95 (1.80)
Sum of ST Elevation (mm) 8.6 (7.0) NA (NA) 8.6 (7.0)
QRS Duration (ms) 91 (19) 105 (19) 88 (18) 0.016
Conduction Defect: LBBB 1 / 50 (2.0%) 1 / 10 (10%) 0 / 40 (0%) 0.2
Conduction Defect: RBBB 3 / 50 (6.0%) 0 / 10 (0%) 3 / 40 (7.5%) >0.9
Conduction Defect: I degree AV Block 2 / 50 (4.0%) 1 / 10 (10%) 1 / 40 (2.5%) 0.4
Conduction Defect: II degree AV Block 1 / 50 (2.0%) 0 / 10 (0%) 1 / 40 (2.5%) >0.9
Conduction Defect: III degree AV Block 2 / 50 (4.0%) 0 / 10 (0%) 2 / 40 (5.0%) >0.9
Conduction Defect: Other 1 / 50 (2.0%) 0 / 10 (0%) 1 / 40 (2.5%) >0.9
Conduction Defect: None 40 / 50 (80%) 8 / 10 (80%) 32 / 40 (80%) >0.9
Presence of Q Waves 13 / 50 (26%) 2 / 10 (20%) 11 / 40 (28%) >0.9
Q Wave Depth (mm) 7.7 (4.9) 10.0 (4.2) 7.3 (5.1) 0.3
VT/VF before PCI 2 / 40 (5.0%) 0 / 0 (NA%) 2 / 40 (5.0%) >0.9
Chest Pain at Arrival 37 / 40 (93%) 0 / 0 (NA%) 37 / 40 (93%) >0.9
Dyspnea at Arrival 3 / 40 (7.5%) 0 / 0 (NA%) 3 / 40 (7.5%) >0.9
Signs of Acute Heart Failure 3 / 40 (7.5%) 0 / 0 (NA%) 3 / 40 (7.5%) >0.9
Chest Pain Severity 6.48 (2.25) NA (NA) 6.48 (2.25)
Systolic Blood Pressure at Arrival 134 (24) 142 (19) 132 (25) 0.4
Diastolic Blood Pressure at Arrival 80 (14) 84 (11) 79 (15) 0.3
Heart Rate at Arrival 73 (18) 70 (11) 74 (19) 0.5
Oxygen Saturation at Arrival 96.56 (4.73) 97.40 (1.17) 96.35 (5.25) >0.9
Killip Class at Arrival


>0.9
    1 36 / 40 (90%) 0 / 0 (NA%) 36 / 40 (90%)
    2 4 / 40 (10%) 0 / 0 (NA%) 4 / 40 (10%)
Therapy Before Arrival: Aspirin 33 / 40 (83%) 0 / 0 (NA%) 33 / 40 (83%) >0.9
Therapy Before Arrival: Heparin 28 / 40 (70%) 0 / 0 (NA%) 28 / 40 (70%) >0.9
Therapy Before Arrival: Morphine 1 / 40 (2.5%) 0 / 0 (NA%) 1 / 40 (2.5%) >0.9
Therapy Before Arrival: P2Y12i 0 / 40 (0%) 0 / 0 (NA%) 0 / 40 (0%)
Therapy Before Arrival: Other 5 / 40 (13%) 0 / 0 (NA%) 5 / 40 (13%) >0.9
1 n / N (%); Mean (SD)
2 Fisher’s exact test; Wilcoxon rank sum test

Table 2: Angiographic Features

Characteristic Overall, N = 501 CCS, N = 101 STEMI, N = 401 p-value2
P2Y12i_intention


<0.001
    1 21 / 50 (42%) 0 / 10 (0%) 21 / 40 (53%)
    2 19 / 50 (38%) 0 / 10 (0%) 19 / 40 (48%)
    3 10 / 50 (20%) 10 / 10 (100%) 0 / 40 (0%)
Vascular Access


>0.9
    Femoral 1 / 50 (2.0%) 0 / 10 (0%) 1 / 40 (2.5%)
    Radial 49 / 50 (98%) 10 / 10 (100%) 39 / 40 (98%)
Culprit Lesion


>0.9
    1 7 / 40 (18%) 0 / 0 (NA%) 7 / 40 (18%)
    11 3 / 40 (7.5%) 0 / 0 (NA%) 3 / 40 (7.5%)
    12a 2 / 40 (5.0%) 0 / 0 (NA%) 2 / 40 (5.0%)
    13 2 / 40 (5.0%) 0 / 0 (NA%) 2 / 40 (5.0%)
    16 1 / 40 (2.5%) 0 / 0 (NA%) 1 / 40 (2.5%)
    2 7 / 40 (18%) 0 / 0 (NA%) 7 / 40 (18%)
    3 1 / 40 (2.5%) 0 / 0 (NA%) 1 / 40 (2.5%)
    6 7 / 40 (18%) 0 / 0 (NA%) 7 / 40 (18%)
    7 10 / 40 (25%) 0 / 0 (NA%) 10 / 40 (25%)
Ostial Lesion 4 / 50 (8.0%) 2 / 10 (20%) 2 / 40 (5.0%) 0.2
TIMI Flow Pre 0.80 (1.07) NA (NA) 0.80 (1.07)
TIMI Frame Count Pre 29 (10) NA (NA) 29 (10)
Bifurcation Lesion Culprit 5 / 50 (10%) 1 / 10 (10%) 4 / 40 (10%) >0.9
Bifurcation Lesion Segment


>0.9
    D1 3 / 5 (60%) 1 / 1 (100%) 2 / 4 (50%)
    D2 1 / 5 (20%) 0 / 1 (0%) 1 / 4 (25%)
    OM1 1 / 5 (20%) 0 / 1 (0%) 1 / 4 (25%)
Bifurcation Type


0.4
    0.1.1 1 / 5 (20%) 1 / 1 (100%) 0 / 4 (0%)
    1.0.0 3 / 5 (60%) 0 / 1 (0%) 3 / 4 (75%)
    1.1.0 1 / 5 (20%) 0 / 1 (0%) 1 / 4 (25%)
First Other Non-Culprit 28 / 40 (70%) 0 / 0 (NA%) 28 / 40 (70%) >0.9
First Other Non-Culprit Segment 7.1 (3.8) 7.8 (3.3) 6.8 (4.0) 0.5
Degree First Non-Culprit 73 (18) 86 (8) 69 (18) 0.013
Second Other Non-Culprit 21 / 50 (42%) 5 / 10 (50%) 16 / 40 (40%) 0.7
Second Other Non-Culprit Segment


0.5
    12 1 / 21 (4.8%) 1 / 5 (20%) 0 / 16 (0%)
    12a 2 / 21 (9.5%) 0 / 5 (0%) 2 / 16 (13%)
    12b 1 / 21 (4.8%) 0 / 5 (0%) 1 / 16 (6.3%)
    13 4 / 21 (19%) 0 / 5 (0%) 4 / 16 (25%)
    2 2 / 21 (9.5%) 0 / 5 (0%) 2 / 16 (13%)
    6 2 / 21 (9.5%) 1 / 5 (20%) 1 / 16 (6.3%)
    7 8 / 21 (38%) 3 / 5 (60%) 5 / 16 (31%)
    9 1 / 21 (4.8%) 0 / 5 (0%) 1 / 16 (6.3%)
Degree Second Non-Culprit Lesion 71 (14) 76 (19) 69 (12) 0.4
Third Other Non-Culprit 10 / 49 (20%) 4 / 9 (44%) 6 / 40 (15%) 0.070
Third Other Non-Culprit Segment


0.5
    1 4 / 10 (40%) 2 / 4 (50%) 2 / 6 (33%)
    11 1 / 10 (10%) 1 / 4 (25%) 0 / 6 (0%)
    12a 1 / 10 (10%) 1 / 4 (25%) 0 / 6 (0%)
    13 2 / 10 (20%) 0 / 4 (0%) 2 / 6 (33%)
    3 1 / 10 (10%) 0 / 4 (0%) 1 / 6 (17%)
    7 1 / 10 (10%) 0 / 4 (0%) 1 / 6 (17%)
Degree Third Non-Culprit Lesion 68 (19) 71 (14) 65 (22) 0.6
Fourth Other Non-Culprit Lesion 4 / 46 (8.7%) 3 / 6 (50%) 1 / 40 (2.5%) 0.005
Fourth Other Non-Culprit Segment


>0.9
    1 1 / 4 (25%) 1 / 3 (33%) 0 / 1 (0%)
    2 1 / 4 (25%) 1 / 3 (33%) 0 / 1 (0%)
    11 1 / 4 (25%) 0 / 3 (0%) 1 / 1 (100%)
    14 1 / 4 (25%) 1 / 3 (33%) 0 / 1 (0%)
Degree Fourth Non-Culprit Lesion 54 (15) 55 (18) 50 (NA) >0.9
Staged PCI 14 / 26 (54%) 0 / 0 (NA%) 14 / 26 (54%) >0.9
Treated First non-culprit Lesion 11 / 40 (28%) 0 / 0 (NA%) 11 / 40 (28%) >0.9
Treated Second non-culprit Lesion 6 / 40 (15%) 0 / 0 (NA%) 6 / 40 (15%) >0.9
Treated Third non-culprit Lesion 3 / 40 (7.5%) 0 / 0 (NA%) 3 / 40 (7.5%) >0.9
Number of Diseased Vessels 1.94 (0.92) 2.00 (1.15) 1.92 (0.87) >0.9
Number of Lesions 2.22 (1.31) 2.40 (1.71) 2.18 (1.21) >0.9
Any Bifurcation Lesion 10 / 40 (25%) 0 / 0 (NA%) 10 / 40 (25%) >0.9
SYNTAX Score 14 (8) 14 (10) 14 (8) >0.9
TIMI Thrombus Grade 4.33 (0.96) NA (NA) 4.33 (0.96)
Culprit Lesion Pre-Dilatation 33 / 50 (66%) 9 / 10 (90%) 24 / 40 (60%) 0.13
Direct Stenting 18 / 50 (36%) 1 / 10 (10%) 17 / 40 (43%) 0.073
Post-Dilatation 33 / 50 (66%) 6 / 10 (60%) 27 / 40 (68%) 0.7
Thrombus Aspiration


>0.9
    Mechanical 3 / 40 (7.5%) 0 / 0 (NA%) 3 / 40 (7.5%)
    No 33 / 40 (83%) 0 / 0 (NA%) 33 / 40 (83%)
    Reolitical 4 / 40 (10%) 0 / 0 (NA%) 4 / 40 (10%)
Number of Stents Implanted 1.76 (1.08) 1.90 (1.29) 1.73 (1.04) 0.8
Total Stent Length 44 (28) 43 (33) 44 (28) 0.6
Stent Minimum Diameter 3.03 (0.53) 2.73 (0.69) 3.10 (0.45) 0.011
Mean Stent Diameter 4.25 (5.57) 4.90 (6.04) 4.08 (5.51) 0.2
Stent Overlap 13 / 50 (26%) 2 / 10 (20%) 11 / 40 (28%) >0.9
Type of Stent Implanted


0.2
    bpDES 41 / 50 (82%) 9 / 10 (90%) 32 / 40 (80%)
    DEB 2 / 50 (4.0%) 1 / 10 (10%) 1 / 40 (2.5%)
    dpDES 7 / 50 (14%) 0 / 10 (0%) 7 / 40 (18%)
Angiographic Success 48 / 50 (96%) 9 / 10 (90%) 39 / 40 (98%) 0.4
Slow Flow or No-Reflow 2 / 40 (5.0%) 0 / 0 (NA%) 2 / 40 (5.0%) >0.9
Any Complications


>0.9
    bradycardia 1 / 2 (50%) 0 / 0 (NA%) 1 / 2 (50%)
    VF 1 / 2 (50%) 0 / 0 (NA%) 1 / 2 (50%)
TIMI Flow Post 2.93 (0.27) NA (NA) 2.93 (0.27)
TIMI Frame Count Post 19 (7) NA (NA) 19 (7)
Procedure Duration 45 (23) 67 (27) 39 (18) <0.001
Contrast (ml) 157 (57) 209 (46) 145 (52) 0.002
Adenosine 1 / 50 (2.0%) 0 / 10 (0%) 1 / 40 (2.5%) >0.9
Atropine 9 / 50 (18%) 0 / 10 (0%) 9 / 40 (23%) 0.2
Nitrates 0 / 50 (0%) 0 / 10 (0%) 0 / 40 (0%)
Morphine 1 / 50 (2.0%) 0 / 10 (0%) 1 / 40 (2.5%) >0.9
Tirofiban 6 / 50 (12%) 0 / 10 (0%) 6 / 40 (15%) 0.3
Cangrelor 23 / 50 (46%) 3 / 10 (30%) 20 / 40 (50%) 0.3
Corticosteroids 0 / 50 (0%) 0 / 10 (0%) 0 / 40 (0%)
Metoclopramide 0 / 50 (0%) 0 / 10 (0%) 0 / 40 (0%)
Other 8 / 50 (16%) 0 / 10 (0%) 8 / 40 (20%) 0.2
Pain to First Blood Sample (min) 269 (213) NA (NA) 269 (213)
Pain to P2Y12i Loading Dose (min) 385 (220) NA (NA) 385 (220)
Cathlab Arrival to First Blood Sample (min) 19 (11) NA (NA) 19 (11)
P2Y12i Loading Dose to First Blood Sample (min) 113 (114) 77 (29) 122 (126) 0.8
P2Y12i Loading Dose to Second Blood Sample (min) 26 (40) NA (NA) 26 (40)
P2Y12i Loading Dose to Balloon/Stent (min) 91 (100) 34 (24) 105 (107) 0.11
1 n / N (%); Mean (SD)
2 Fisher’s exact test; Wilcoxon rank sum test; Wilcoxon rank sum exact test

Characteristic Overall, N = 501 CCS, N = 101 STEMI, N = 401 p-value2
P2Y12i_intention


<0.001
    1 21 / 50 (42%) 0 / 10 (0%) 21 / 40 (53%)
    2 19 / 50 (38%) 0 / 10 (0%) 19 / 40 (48%)
    3 10 / 50 (20%) 10 / 10 (100%) 0 / 40 (0%)
SBP 130 (23) 143 (18) 127 (23) 0.050
DBP 79 (14) 82 (13) 78 (14) 0.4
Heart Rate 75 (14) 68 (8) 76 (15) 0.10
Oxygen Saturation 97.14 (1.83) 97.60 (1.26) 97.03 (1.94) 0.5
Killip Class


>0.9
    1 36 / 40 (90%) 0 / 0 (NA%) 36 / 40 (90%)
    2 4 / 40 (10%) 0 / 0 (NA%) 4 / 40 (10%)
Chest Pain Severity 1.20 (1.96) 0.00 (0.00) 1.50 (2.09) 0.009
Dyspnea 3 / 50 (6.0%) 0 / 10 (0%) 3 / 40 (7.5%) >0.9
Signs of Acute Heart Failure 3 / 40 (7.5%) 0 / 0 (NA%) 3 / 40 (7.5%) >0.9
ECG Feature


<0.001
    None 23 / 50 (46%) 10 / 10 (100%) 13 / 40 (33%)
    ST Segment Elevation 27 / 50 (54%) 0 / 10 (0%) 27 / 40 (68%)
Rhythm



    Sinus Rhythm 50 / 50 (100%) 10 / 10 (100%) 40 / 40 (100%)
Max ST Elevation Lead


>0.9
    aVF 1 / 40 (2.5%) 0 / 0 (NA%) 1 / 40 (2.5%)
    III 11 / 40 (28%) 0 / 0 (NA%) 11 / 40 (28%)
    None 12 / 40 (30%) 0 / 0 (NA%) 12 / 40 (30%)
    V2 5 / 40 (13%) 0 / 0 (NA%) 5 / 40 (13%)
    V3 9 / 40 (23%) 0 / 0 (NA%) 9 / 40 (23%)
    V4 1 / 40 (2.5%) 0 / 0 (NA%) 1 / 40 (2.5%)
    V6 1 / 40 (2.5%) 0 / 0 (NA%) 1 / 40 (2.5%)
Max ST Deviation (mm) 1.39 (1.70) NA (NA) 1.39 (1.70)
ST Segment Resolution (mm) 1.83 (1.53) NA (NA) 1.83 (1.53)
ST Segment Resolution (%) 61 (31) NA (NA) 61 (31)
QRS Duration (msec) 93 (14) 104 (16) 91 (12) 0.013
Conduction Defects


0.069
    I Degree AV Block 1 / 50 (2.0%) 1 / 10 (10%) 0 / 40 (0%)
    LBBB 1 / 50 (2.0%) 1 / 10 (10%) 0 / 40 (0%)
    None 45 / 50 (90%) 8 / 10 (80%) 37 / 40 (93%)
    RBBB 3 / 50 (6.0%) 0 / 10 (0%) 3 / 40 (7.5%)
Q Waves 23 / 50 (46%) 1 / 10 (10%) 22 / 40 (55%) 0.014
Q Wave Depth (mm) 9.5 (7.0) 12.0 (NA) 9.4 (7.1) 0.5
1 n / N (%); Mean (SD)
2 Fisher’s exact test; Wilcoxon rank sum test

Characteristic Overall, N = 501 CCS, N = 101 STEMI, N = 401 p-value2
P2Y12i_intention


<0.001
    1 21 / 50 (42%) 0 / 10 (0%) 21 / 40 (53%)
    2 19 / 50 (38%) 0 / 10 (0%) 19 / 40 (48%)
    3 10 / 50 (20%) 10 / 10 (100%) 0 / 40 (0%)
Death 0 / 50 (0%) 0 / 10 (0%) 0 / 40 (0%)
Stent Thrombosis 0 / 50 (0%) 0 / 10 (0%) 0 / 40 (0%)
Unscheduled Ischemia Driven Revascularization 1 / 50 (2.0%) 0 / 10 (0%) 1 / 40 (2.5%) >0.9
Unscheduled Ischemia Driven Revascularization (Days) 1.0000 (NA) NA (NA) 1.0000 (NA)
Cerebrovascular Complications 0 / 50 (0%) 0 / 10 (0%) 0 / 40 (0%)
Pericaridal Effusion 1 / 50 (2.0%) 0 / 10 (0%) 1 / 40 (2.5%) >0.9
Pericaridal Effusion Days 8.0000 (NA) NA (NA) 8.0000 (NA)
Tamponade 0 / 50 (0%) 0 / 10 (0%) 0 / 40 (0%)
Ventricular Tachycardia 2 / 50 (4.0%) 0 / 10 (0%) 2 / 40 (5.0%) >0.9
Ventricular Tachycardia (Days) 1.0000 (0.0000) NA (NA) 1.0000 (0.0000)
Ventricular Fibrillation 2 / 50 (4.0%) 0 / 10 (0%) 2 / 40 (5.0%) >0.9
Ventricular Fibrillation (Days) 0.50 (0.71) NA (NA) 0.50 (0.71)
Acute Kidney Injury 0 / 50 (0%) 0 / 10 (0%) 0 / 40 (0%)
Any Bleeding 0 / 49 (0%) 0 / 10 (0%) 0 / 39 (0%)
Cardiogenic Shock 0 / 50 (0%) 0 / 10 (0%) 0 / 40 (0%)
Cardiac Arrest 0 / 37 (0%) 0 / 10 (0%) 0 / 27 (0%)
New Onset Dyspnea 2 / 50 (4.0%) 0 / 10 (0%) 2 / 40 (5.0%) >0.9
New Onset Rhythm Change 3 / 50 (6.0%) 0 / 10 (0%) 3 / 40 (7.5%) >0.9
Which Rhythm Change



    AF 3 / 3 (100%) 0 / 0 (NA%) 3 / 3 (100%)
New Intollerance to any Medication 1 / 50 (2.0%) 0 / 10 (0%) 1 / 40 (2.5%) >0.9
Any Medication Switch 4 / 50 (8.0%) 0 / 10 (0%) 4 / 40 (10%) 0.6
Which Medication Switch


>0.9
    Switch to Clopidogrel 3 / 4 (75%) 0 / 0 (NA%) 3 / 4 (75%)
    Switch to Prasugrel 1 / 4 (25%) 0 / 0 (NA%) 1 / 4 (25%)
1 n / N (%); Mean (SD)
2 Fisher’s exact test

Characteristic Admission, N = 501 Day 3, N = 501 Discharge, N = 501 Follow-Up, N = 501 Pre-PCI, N = 501 p-value2
type




>0.9
    CCS 10 / 50 (20%) 10 / 50 (20%) 10 / 50 (20%) 10 / 50 (20%) 10 / 50 (20%)
    STEMI 40 / 50 (80%) 40 / 50 (80%) 40 / 50 (80%) 40 / 50 (80%) 40 / 50 (80%)
P2Y12i




>0.9
    1 17 / 50 (34%) 17 / 50 (34%) 17 / 50 (34%) 17 / 50 (34%) 17 / 50 (34%)
    2 20 / 50 (40%) 20 / 50 (40%) 20 / 50 (40%) 20 / 50 (40%) 20 / 50 (40%)
    3 13 / 50 (26%) 13 / 50 (26%) 13 / 50 (26%) 13 / 50 (26%) 13 / 50 (26%)
P2Y12i_intention




>0.9
    1 21 / 50 (42%) 21 / 50 (42%) 21 / 50 (42%) 21 / 50 (42%) 21 / 50 (42%)
    2 19 / 50 (38%) 19 / 50 (38%) 19 / 50 (38%) 19 / 50 (38%) 19 / 50 (38%)
    3 10 / 50 (20%) 10 / 50 (20%) 10 / 50 (20%) 10 / 50 (20%) 10 / 50 (20%)
creatinine 0.83 (0.20) 0.87 (0.25) 0.86 (0.21) 0.87 (0.23) NA (NA) 0.8
sodium 137.78 (3.04) 138.40 (2.34) 138.00 (2.23) 139.65 (2.79) NA (NA) 0.001
potassium 4.17 (0.37) 4.07 (0.35) 4.24 (0.35) 4.32 (0.50) NA (NA) 0.080
glucose 150 (92) 116 (37) 106 (30) 112 (75) NA (NA) <0.001
glycohemoglobin 7.37 (2.92) NA (NA) 6.55 (2.29) 6.62 (1.83) NA (NA) 0.2
crp 0.86 (1.84) 2.59 (3.01) 2.04 (2.23) 0.41 (0.69) NA (NA) <0.001
ast 168 (226) 61 (56) 28 (10) 26 (13) NA (NA) <0.001
alt 40 (28) 40 (41) 29 (17) 34 (24) NA (NA) 0.2
total_bilirubin 0.67 (0.39) NA (NA) 0.72 (0.28) 0.70 (0.43) NA (NA) 0.4
direct_bilirubin 0.26 (0.13) NA (NA) 0.29 (0.11) 0.29 (0.12) NA (NA) 0.3
pt 104 (15) NA (NA) 96 (12) 100 (20) NA (NA) 0.011
inr 0.99 (0.10) NA (NA) 1.01 (0.08) 1.01 (0.12) NA (NA) 0.091
aptt 42 (34) NA (NA) 31 (9) 30 (3) NA (NA) >0.9
hemoglobin 15.13 (1.31) 14.59 (1.22) 14.48 (1.34) 14.31 (1.31) NA (NA) 0.023
rbc 4,964,600 (456,867) 4,685,325 (801,475) 4,662,200 (747,770) 4,748,571 (455,732) NA (NA) 0.035
wbc 10,681 (3,202) 9,782 (2,371) 8,802 (2,365) 7,633 (2,571) NA (NA) <0.001
plt 237,200 (63,690) 227,175 (61,016) 231,808 (67,286) 255,571 (161,355) NA (NA) 0.7
cholesterol 193 (50) NA (NA) 154 (34) 117 (29) NA (NA) <0.001
ldl 120 (47) NA (NA) 94 (30) 56 (28) NA (NA) <0.001
hdl 44 (26) NA (NA) 37 (16) 39 (12) NA (NA) 0.4
triglycerides 148 (82) NA (NA) 128 (66) 108 (52) NA (NA) 0.037
hstnt 3,717 (6,092) 2,675 (2,575) 971 (1,079) 35 (65) NA (NA) <0.001
ck_mb 146 (181) 24 (10) 16 (7) 13 (7) NA (NA) <0.001
nt_pro_bnp 980 (1,411) 1,341 (1,383) 960 (1,067) 550 (730) NA (NA) 0.001
lvef 48 (6) NA (NA) 51 (6) 55 (8) NA (NA) <0.001
bcate_elisa 3.14 (3.24) 4.05 (3.13) 3.48 (2.64) 3.35 (2.75) 3.25 (2.97) 0.3
dkk1_elisa 648 (533) 881 (809) 808 (658) 637 (510) 651 (490) 0.4
bcate_qPCR 5 (10) 6 (13) 7 (25) 8 (18) 5 (9) >0.9
dkk1_qPCR 2.1 (2.5) 3.8 (5.3) 6.0 (13.6) 7.7 (16.0) 2.3 (2.6) 0.079
1 n / N (%); Mean (SD)
2 Pearson’s Chi-squared test; Kruskal-Wallis rank sum test
Characteristic Admission, N = 401 Day 3, N = 401 Discharge, N = 401 Follow-Up, N = 401 Pre-PCI, N = 401 p-value2
type





    STEMI 40 / 40 (100%) 40 / 40 (100%) 40 / 40 (100%) 40 / 40 (100%) 40 / 40 (100%)
P2Y12i




>0.9
    1 17 / 40 (43%) 17 / 40 (43%) 17 / 40 (43%) 17 / 40 (43%) 17 / 40 (43%)
    2 20 / 40 (50%) 20 / 40 (50%) 20 / 40 (50%) 20 / 40 (50%) 20 / 40 (50%)
    3 3 / 40 (7.5%) 3 / 40 (7.5%) 3 / 40 (7.5%) 3 / 40 (7.5%) 3 / 40 (7.5%)
P2Y12i_intention




>0.9
    1 21 / 40 (53%) 21 / 40 (53%) 21 / 40 (53%) 21 / 40 (53%) 21 / 40 (53%)
    2 19 / 40 (48%) 19 / 40 (48%) 19 / 40 (48%) 19 / 40 (48%) 19 / 40 (48%)
creatinine 0.85 (0.20) 0.87 (0.25) 0.89 (0.22) 0.90 (0.24) NA (NA) 0.8
sodium 137.63 (2.94) 138.40 (2.34) 138.10 (2.23) 139.55 (3.05) NA (NA) 0.011
potassium 4.14 (0.39) 4.07 (0.35) 4.27 (0.37) 4.36 (0.51) NA (NA) 0.023
glucose 152 (65) 116 (37) 107 (31) 105 (53) NA (NA) <0.001
glycohemoglobin 7.22 (2.79) NA (NA) 6.58 (2.32) 6.67 (1.86) NA (NA) 0.3
crp 0.93 (2.00) 2.59 (3.01) 2.07 (2.26) 0.38 (0.62) NA (NA) <0.001
ast 205 (240) 61 (56) 29 (10) 28 (13) NA (NA) <0.001
alt 44 (30) 40 (41) 31 (17) 37 (25) NA (NA) 0.2
total_bilirubin 0.69 (0.40) NA (NA) 0.73 (0.28) 0.67 (0.42) NA (NA) 0.3
direct_bilirubin 0.26 (0.13) NA (NA) 0.29 (0.11) 0.29 (0.12) NA (NA) 0.3
pt 102 (14) NA (NA) 95 (11) 98 (20) NA (NA) 0.019
inr 1.00 (0.10) NA (NA) 1.02 (0.08) 1.01 (0.12) NA (NA) 0.2
aptt 45 (38) NA (NA) 31 (9) 30 (3) NA (NA) >0.9
hemoglobin 15.18 (1.38) 14.59 (1.22) 14.41 (1.31) 14.23 (1.29) NA (NA) 0.018
rbc 4,983,750 (500,951) 4,685,325 (801,475) 4,628,000 (811,978) 4,728,000 (478,203) NA (NA) 0.037
wbc 11,636 (2,766) 9,782 (2,371) 9,022 (2,349) 8,053 (2,620) NA (NA) <0.001
plt 237,600 (68,997) 227,175 (61,016) 236,335 (71,189) 263,725 (176,518) NA (NA) 0.7
cholesterol 195 (37) NA (NA) 156 (33) 114 (28) NA (NA) <0.001
ldl 124 (36) NA (NA) 96 (29) 54 (30) NA (NA) <0.001
hdl 42 (27) NA (NA) 37 (17) 37 (11) NA (NA) 0.7
triglycerides 150 (78) NA (NA) 129 (66) 111 (54) NA (NA) 0.035
hstnt 4,643 (6,500) 2,675 (2,575) 1,176 (1,112) 39 (71) NA (NA) <0.001
ck_mb 179 (189) 24 (10) 17 (8) 15 (6) NA (NA) <0.001
nt_pro_bnp 1,022 (1,245) 1,341 (1,383) 1,136 (1,091) 630 (767) NA (NA) 0.008
lvef 48 (6) NA (NA) 50 (6) 54 (7) NA (NA) <0.001
bcate_elisa 3.81 (3.31) 4.05 (3.13) 3.48 (2.64) 3.77 (2.71) 3.93 (2.95) 0.8
dkk1_elisa 711 (532) 881 (809) 808 (658) 676 (527) 722 (517) 0.9
bcate_qPCR 5 (11) 6 (13) 7 (25) 9 (19) 5 (10) 0.7
dkk1_qPCR 2.4 (2.7) 3.8 (5.3) 6.0 (13.6) 8.9 (17.0) 2.5 (2.7) 0.067
1 n / N (%); Mean (SD)
2 Fisher’s exact test; Pearson’s Chi-squared test; Kruskal-Wallis rank sum test

Figure 1

ANOVA misure ripetute con test di Tukey per Bcate ELISA

            numDF denDF  F-value p-value
(Intercept)     1   156 89.23015  <.0001
Timepoint       4   156  0.64050  0.6344

     Simultaneous Tests for General Linear Hypotheses

Multiple Comparisons of Means: Tukey Contrasts


Fit: lme.formula(fixed = bcate_elisa ~ Timepoint, data = lab_long_stemi_bcate_elisa, 
    random = ~1 | record_id)

Linear Hypotheses:
                           Estimate Std. Error z value Pr(>|z|)
Admission - Pre-PCI == 0   -0.12680    0.37625  -0.337    0.997
Day 3 - Pre-PCI == 0        0.11342    0.37625   0.301    0.998
Discharge - Pre-PCI == 0   -0.45302    0.37625  -1.204    0.749
Follow-Up - Pre-PCI == 0   -0.16079    0.37625  -0.427    0.993
Day 3 - Admission == 0      0.24022    0.37625   0.638    0.969
Discharge - Admission == 0 -0.32622    0.37625  -0.867    0.909
Follow-Up - Admission == 0 -0.03399    0.37625  -0.090    1.000
Discharge - Day 3 == 0     -0.56644    0.37625  -1.505    0.559
Follow-Up - Day 3 == 0     -0.27421    0.37625  -0.729    0.950
Follow-Up - Discharge == 0  0.29223    0.37625   0.777    0.937
(Adjusted p values reported -- single-step method)

ANOVA misure ripetute con test di Tukey per DKK1 ELISA

            numDF denDF   F-value p-value
(Intercept)     1   156 155.11339  <.0001
Timepoint       4   156   0.94464  0.4398

     Simultaneous Tests for General Linear Hypotheses

Multiple Comparisons of Means: Tukey Contrasts


Fit: lme.formula(fixed = dkk1_elisa ~ Timepoint, data = lab_long_stemi_dkk1_elisa, 
    random = ~1 | record_id)

Linear Hypotheses:
                           Estimate Std. Error z value Pr(>|z|)
Admission - Pre-PCI == 0     -10.92     120.99  -0.090    1.000
Day 3 - Pre-PCI == 0         158.28     120.99   1.308    0.686
Discharge - Pre-PCI == 0      85.25     120.99   0.705    0.956
Follow-Up - Pre-PCI == 0     -46.40     120.99  -0.384    0.995
Day 3 - Admission == 0       169.20     120.99   1.398    0.629
Discharge - Admission == 0    96.17     120.99   0.795    0.932
Follow-Up - Admission == 0   -35.49     120.99  -0.293    0.998
Discharge - Day 3 == 0       -73.03     120.99  -0.604    0.975
Follow-Up - Day 3 == 0      -204.68     120.99  -1.692    0.439
Follow-Up - Discharge == 0  -131.66     120.99  -1.088    0.813
(Adjusted p values reported -- single-step method)

ANOVA misure ripetute con test di Tukey per Bcate qPCR

            numDF denDF   F-value p-value
(Intercept)     1   145 22.952850  <.0001
Timepoint       4   145  0.473548  0.7551

     Simultaneous Tests for General Linear Hypotheses

Multiple Comparisons of Means: Tukey Contrasts


Fit: lme.formula(fixed = bcate_qPCR ~ Timepoint, data = lab_long_stemi_bcate_qPCR, 
    random = ~1 | record_id)

Linear Hypotheses:
                           Estimate Std. Error z value Pr(>|z|)
Admission - Pre-PCI == 0     0.6166     3.6802   0.168    1.000
Day 3 - Pre-PCI == 0         1.6136     3.7288   0.433    0.993
Discharge - Pre-PCI == 0     2.6089     3.7288   0.700    0.957
Follow-Up - Pre-PCI == 0     4.6066     3.7287   1.235    0.731
Day 3 - Admission == 0       0.9970     3.7068   0.269    0.999
Discharge - Admission == 0   1.9923     3.7068   0.537    0.983
Follow-Up - Admission == 0   3.9900     3.7067   1.076    0.819
Discharge - Day 3 == 0       0.9953     3.7521   0.265    0.999
Follow-Up - Day 3 == 0       2.9930     3.7551   0.797    0.932
Follow-Up - Discharge == 0   1.9977     3.7551   0.532    0.984
(Adjusted p values reported -- single-step method)

ANOVA misure ripetute con test di Tukey per DKK1 qPCR

            numDF denDF   F-value p-value
(Intercept)     1   147 26.700071  <.0001
Timepoint       4   147  3.221447  0.0144

     Simultaneous Tests for General Linear Hypotheses

Multiple Comparisons of Means: Tukey Contrasts


Fit: lme.formula(fixed = dkk1_qPCR ~ Timepoint, data = lab_long_stemi_dkk1_qPCR, 
    random = ~1 | record_id)

Linear Hypotheses:
                           Estimate Std. Error z value Pr(>|z|)  
Admission - Pre-PCI == 0   -0.02915    2.16821  -0.013   1.0000  
Day 3 - Pre-PCI == 0        1.32672    2.18015   0.609   0.9738  
Discharge - Pre-PCI == 0    3.56873    2.18015   1.637   0.4736  
Follow-Up - Pre-PCI == 0    6.41608    2.18015   2.943   0.0269 *
Day 3 - Admission == 0      1.35587    2.15215   0.630   0.9703  
Discharge - Admission == 0  3.59788    2.15215   1.672   0.4515  
Follow-Up - Admission == 0  6.44523    2.15215   2.995   0.0230 *
Discharge - Day 3 == 0      2.24201    2.16418   1.036   0.8387  
Follow-Up - Day 3 == 0      5.08936    2.16418   2.352   0.1290  
Follow-Up - Discharge == 0  2.84735    2.16418   1.316   0.6814  
---
Signif. codes:  0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1
(Adjusted p values reported -- single-step method)

Figure 2

ns: p > 0.05, *: p <= 0.05, **: p <= 0.01, ***: p <= 0.001, ****: p <= 0.0001

Patients Matching

Figure 2 (matched patients)

Sensitivity Analysis

Characteristic Pre-PCI, N = 221 Admission, N = 221 Day 3, N = 221 Discharge, N = 221 Follow-Up, N = 221 p-value2
type





    STEMI 22 / 22 (100%) 22 / 22 (100%) 22 / 22 (100%) 22 / 22 (100%) 22 / 22 (100%)
P2Y12i




>0.9
    1 10 / 22 (45%) 10 / 22 (45%) 10 / 22 (45%) 10 / 22 (45%) 10 / 22 (45%)
    2 11 / 22 (50%) 11 / 22 (50%) 11 / 22 (50%) 11 / 22 (50%) 11 / 22 (50%)
    3 1 / 22 (4.5%) 1 / 22 (4.5%) 1 / 22 (4.5%) 1 / 22 (4.5%) 1 / 22 (4.5%)
P2Y12i_intention




>0.9
    1 11 / 22 (50%) 11 / 22 (50%) 11 / 22 (50%) 11 / 22 (50%) 11 / 22 (50%)
    2 11 / 22 (50%) 11 / 22 (50%) 11 / 22 (50%) 11 / 22 (50%) 11 / 22 (50%)
creatinine NA (NA) 0.83 (0.21) 0.87 (0.24) 0.90 (0.22) 0.92 (0.22) 0.6
sodium NA (NA) 137.18 (2.91) 138.05 (2.65) 137.91 (2.16) 139.18 (3.25) 0.088
potassium NA (NA) 4.12 (0.41) 4.12 (0.31) 4.28 (0.37) 4.29 (0.42) 0.3
glucose NA (NA) 144 (46) 115 (36) 110 (35) 101 (43) <0.001
glycohemoglobin NA (NA) 6.72 (1.67) NA (NA) 6.19 (1.30) 6.03 (1.02) 0.7
crp NA (NA) 0.48 (0.32) 3.02 (3.33) 2.35 (2.69) 0.38 (0.68) <0.001
ast NA (NA) 207 (201) 66 (69) 30 (11) 27 (14) <0.001
alt NA (NA) 49 (31) 47 (52) 35 (21) 38 (29) 0.4
total_bilirubin NA (NA) 0.71 (0.45) NA (NA) 0.74 (0.27) 0.61 (0.26) 0.2
direct_bilirubin NA (NA) 0.28 (0.14) NA (NA) 0.32 (0.09) 0.28 (0.10) 0.2
pt NA (NA) 101 (18) NA (NA) 96 (11) 101 (23) 0.2
inr NA (NA) 1.01 (0.13) NA (NA) 1.02 (0.09) 0.99 (0.10) 0.5
aptt NA (NA) 54 (49) NA (NA) 32 (12) 30 (3) 0.8
hemoglobin NA (NA) 15.32 (1.25) 14.60 (1.35) 14.37 (1.49) 14.26 (1.15) 0.043
rbc NA (NA) 5,047,727 (433,171) 4,806,818 (364,409) 4,731,818 (490,390) 4,752,727 (426,728) 0.061
wbc NA (NA) 11,041 (2,583) 9,276 (2,188) 8,504 (2,144) 7,667 (2,906) <0.001
plt NA (NA) 240,409 (52,490) 219,864 (52,128) 220,427 (65,407) 225,909 (50,714) 0.6
cholesterol NA (NA) 196 (40) NA (NA) 156 (33) 113 (25) <0.001
ldl NA (NA) 125 (30) NA (NA) 95 (29) 58 (29) <0.001
hdl NA (NA) 40 (18) NA (NA) 37 (19) 38 (12) 0.7
triglycerides NA (NA) 151 (69) NA (NA) 126 (52) 99 (40) 0.042
hstnt NA (NA) 4,355 (3,872) 2,313 (2,001) 1,227 (1,098) 50 (93) <0.001
ck_mb NA (NA) 200 (199) 24 (11) 18 (10) 15 (6) <0.001
nt_pro_bnp NA (NA) 841 (1,007) 1,333 (1,360) 1,094 (931) 545 (608) 0.023
lvef NA (NA) 48 (6) NA (NA) 49 (6) 54 (7) 0.016
bcate_elisa 3.65 (2.89) 2.97 (2.39) 3.29 (2.63) 2.97 (2.62) 3.48 (2.53) 0.7
dkk1_elisa 668 (513) 643 (531) 830 (844) 737 (664) 658 (511) >0.9
bcate_qPCR 2 (3) 4 (10) 7 (17) 12 (33) 6 (13) >0.9
dkk1_qPCR 2 (2) 2 (2) 4 (6) 8 (18) 12 (22) 0.065
1 n / N (%); Mean (SD)
2 Fisher’s exact test; Pearson’s Chi-squared test; Kruskal-Wallis rank sum test

            numDF denDF  F-value p-value
(Intercept)     1    84 40.07928  <.0001
Timepoint       4    84  1.66543  0.1657

     Simultaneous Tests for General Linear Hypotheses

Multiple Comparisons of Means: Tukey Contrasts


Fit: lme.formula(fixed = bcate_elisa ~ Timepoint, data = lab_long_fil_bcate_elisa, 
    random = ~1 | record_id)

Linear Hypotheses:
                            Estimate Std. Error z value Pr(>|z|)
Admission - Pre-PCI == 0   -0.678554   0.332330  -2.042    0.246
Day 3 - Pre-PCI == 0       -0.355978   0.332330  -1.071    0.821
Discharge - Pre-PCI == 0   -0.681902   0.332330  -2.052    0.241
Follow-Up - Pre-PCI == 0   -0.173521   0.332330  -0.522    0.985
Day 3 - Admission == 0      0.322576   0.332330   0.971    0.868
Discharge - Admission == 0 -0.003348   0.332330  -0.010    1.000
Follow-Up - Admission == 0  0.505033   0.332330   1.520    0.550
Discharge - Day 3 == 0     -0.325924   0.332330  -0.981    0.864
Follow-Up - Day 3 == 0      0.182457   0.332330   0.549    0.982
Follow-Up - Discharge == 0  0.508381   0.332330   1.530    0.543
(Adjusted p values reported -- single-step method)
            numDF denDF  F-value p-value
(Intercept)     1    84 64.79286  <.0001
Timepoint       4    84  0.47567  0.7535

     Simultaneous Tests for General Linear Hypotheses

Multiple Comparisons of Means: Tukey Contrasts


Fit: lme.formula(fixed = dkk1_elisa ~ Timepoint, data = lab_long_fil_dkk1_elisa, 
    random = ~1 | record_id)

Linear Hypotheses:
                           Estimate Std. Error z value Pr(>|z|)
Admission - Pre-PCI == 0    -24.653    158.771  -0.155    1.000
Day 3 - Pre-PCI == 0        162.102    158.771   1.021    0.846
Discharge - Pre-PCI == 0     69.304    158.771   0.437    0.992
Follow-Up - Pre-PCI == 0     -9.349    158.771  -0.059    1.000
Day 3 - Admission == 0      186.754    158.771   1.176    0.765
Discharge - Admission == 0   93.957    158.771   0.592    0.976
Follow-Up - Admission == 0   15.303    158.771   0.096    1.000
Discharge - Day 3 == 0      -92.798    158.771  -0.584    0.977
Follow-Up - Day 3 == 0     -171.451    158.771  -1.080    0.817
Follow-Up - Discharge == 0  -78.653    158.771  -0.495    0.988
(Adjusted p values reported -- single-step method)
            numDF denDF  F-value p-value
(Intercept)     1    79 8.238792  0.0053
Timepoint       4    79 0.988461  0.4188

     Simultaneous Tests for General Linear Hypotheses

Multiple Comparisons of Means: Tukey Contrasts


Fit: lme.formula(fixed = bcate_qPCR ~ Timepoint, data = lab_long_fil_bcate_qPCR, 
    random = ~1 | record_id)

Linear Hypotheses:
                           Estimate Std. Error z value Pr(>|z|)
Admission - Pre-PCI == 0     1.7613     5.1530   0.342    0.997
Day 3 - Pre-PCI == 0         5.1049     5.2040   0.981    0.864
Discharge - Pre-PCI == 0     9.5763     5.2040   1.840    0.350
Follow-Up - Pre-PCI == 0     4.3086     5.2750   0.817    0.926
Day 3 - Admission == 0       3.3436     5.1530   0.649    0.967
Discharge - Admission == 0   7.8150     5.1530   1.517    0.552
Follow-Up - Admission == 0   2.5473     5.2248   0.488    0.989
Discharge - Day 3 == 0       4.4714     5.2040   0.859    0.912
Follow-Up - Day 3 == 0      -0.7963     5.2750  -0.151    1.000
Follow-Up - Discharge == 0  -5.2677     5.2750  -0.999    0.856
(Adjusted p values reported -- single-step method)
            numDF denDF   F-value p-value
(Intercept)     1    79 13.065428   5e-04
Timepoint       4    79  2.637529   4e-02

     Simultaneous Tests for General Linear Hypotheses

Multiple Comparisons of Means: Tukey Contrasts


Fit: lme.formula(fixed = dkk1_qPCR ~ Timepoint, data = lab_long_fil_dkk1_qPCR, 
    random = ~1 | record_id)

Linear Hypotheses:
                           Estimate Std. Error z value Pr(>|z|)  
Admission - Pre-PCI == 0    0.00801    3.81715   0.002   1.0000  
Day 3 - Pre-PCI == 0        2.15178    3.85528   0.558   0.9810  
Discharge - Pre-PCI == 0    5.96784    3.85528   1.548   0.5311  
Follow-Up - Pre-PCI == 0   10.15076    3.85528   2.633   0.0646 .
Day 3 - Admission == 0      2.14377    3.76548   0.569   0.9795  
Discharge - Admission == 0  5.95983    3.76548   1.583   0.5084  
Follow-Up - Admission == 0 10.14275    3.76548   2.694   0.0548 .
Discharge - Day 3 == 0      3.81607    3.80412   1.003   0.8540  
Follow-Up - Day 3 == 0      7.99898    3.80412   2.103   0.2187  
Follow-Up - Discharge == 0  4.18291    3.80412   1.100   0.8068  
---
Signif. codes:  0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1
(Adjusted p values reported -- single-step method)

Linear Regression

Calcolo AUC

### Risultati per LVEF
                     Estimate   IC_95_Lower IC_95_Upper    P_value
bcate_t0         0.8832456769  0.1264576403 1.640033713 0.02782232
dkk1_t0          0.0029560116 -0.0015544803 0.007466503 0.20673849
bcate_qpcr_t0    0.1457063478 -0.0872163549 0.378629051 0.22812440
dkk1_qpcr_t0     0.3485923218 -0.5811929980 1.278377642 0.46733393
bcate_t1         0.8697426058  0.2047477470 1.534737465 0.01444389
dkk1_t1         -0.0006633030 -0.0051407490 0.003814143 0.77311911
bcate_qpcr_t1    0.1464424805 -0.0763828391 0.369267800 0.20569959
dkk1_qpcr_t1     0.2699592316 -0.6351988481 1.175117311 0.56239071
bcate_t2         0.4008156349 -0.3490573767 1.150688647 0.30142153
dkk1_t2          0.0013462263 -0.0015692357 0.004261688 0.37114794
bcate_qpcr_t2    0.0138335136 -0.1727511657 0.200418193 0.88527219
dkk1_qpcr_t2     0.1364096732 -0.3354067484 0.608226095 0.57445649
bcate_t3         0.9370392441  0.0858063334 1.788272155 0.03734772
dkk1_t3          0.0023796305 -0.0011615317 0.005920793 0.19569154
bcate_qpcr_t3   -0.0816180601 -0.1773855017 0.014149382 0.10351060
dkk1_qpcr_t3    -0.0722099324 -0.2536511128 0.109231248 0.44046572
AUC_bcate_elisa  0.2471879714  0.0312955553 0.463080388 0.03072917
AUC_dkk1_elisa   0.0008633854 -0.0005752305 0.002302001 0.24679398
AUC_bcate_qPCR  -0.0242828033 -0.0901072641 0.041541657 0.47432171
AUC_dkk1_qPCR   -0.0174940912 -0.1299001609 0.094911978 0.76209191

### Risultati per NT-proBNP
                     Estimate  IC_95_Lower  IC_95_Upper   P_value
bcate_t0          5.329963154  -77.3010334  87.96095971 0.9000611
dkk1_t0           0.001552686   -0.4701832   0.47328859 0.9948865
bcate_qpcr_t0    -2.632739961  -26.8446200  21.57914011 0.8324314
dkk1_qpcr_t0    -12.885798186 -108.5600349  82.78843848 0.7933429
bcate_t1        -34.961288547 -107.8581093  37.93553217 0.3531470
dkk1_t1          -0.130593471   -0.5876526   0.32646567 0.5787511
bcate_qpcr_t1    -2.962333323  -26.3202062  20.39553956 0.8050645
dkk1_qpcr_t1     -7.221097262 -100.5230621  86.08086762 0.8802524
bcate_t2         26.920788508  -50.4856704 104.32724741 0.4995888
dkk1_t2          -0.228453367   -0.5212848   0.06437809 0.1345222
bcate_qpcr_t2    -1.486569065  -20.5003609  17.52722274 0.8790647
dkk1_qpcr_t2    -17.203864136  -65.1714592  30.76373095 0.4865985
bcate_t3        -24.325548932 -116.3406222  67.68952433 0.6073541
dkk1_t3           0.012934508   -0.3577959   0.38366493 0.9458394
bcate_qpcr_t3     5.910750215   -4.0341422  15.85564260 0.2517101
dkk1_qpcr_t3     -1.483675634  -20.1232337  17.15588244 0.8768947
AUC_bcate_elisa  -3.949601012  -27.4398602  19.54065814 0.7435496
AUC_dkk1_elisa   -0.075646834   -0.2236589   0.07236519 0.3228114
AUC_bcate_qPCR    2.115930785   -4.6051724   8.83703397 0.5410882
AUC_dkk1_qPCR    -1.619619043  -13.0772490   9.83801089 0.7833186
### Risultati delle Regressioni Multiple per LVEF
              Estimate IC_95_Lower IC_95_Upper      P_value
bcate_t0     0.3472716   -0.191756   0.8862992 2.145827e-01
lvef_postpci 0.8487228    0.600294   1.0971516 7.226327e-08
                    Estimate  IC_95_Lower   IC_95_Upper     P_value
bcate_t0         0.561568506  0.027587975  1.0955490360 0.046556639
hstnt_3day      -0.001319907 -0.002083580 -0.0005562336 0.001719628
nt_pro_bnp_3day -0.001853542 -0.003330317 -0.0003767665 0.018825006

### Risultati delle Regressioni Multiple per NT-proBNP
                    Estimate IC_95_Lower IC_95_Upper      P_value
bcate_t0         36.36955559  -9.8612937  82.6004048 1.320867e-01
hstnt_3day        0.21172133   0.1418315   0.2816111 9.331313e-07
nt_pro_bnp_3day   0.01704908  -0.1121897   0.1462879 7.974880e-01
lvef_postpci    -25.41705693 -52.3816519   1.5475381 7.313932e-02

echo


### Table 1 Echocardiography: STEMI vs CCS
Characteristic Overall, N = 501 CCS, N = 101 STEMI, N = 401 p-value2
Body Mass Index (BMI) 39 (49) 43 (53) 38 (49) 0.7
Body Surface Area (BSA) 1.89 (0.19) 1.83 (0.22) 1.90 (0.18) 0.3
Systolic Blood Pressure (postPCI) 119 (17) NA (NA) 119 (17)
Diastolic Blood Pressure (postPCI) 74 (12) NA (NA) 74 (12)
N. of akinetic segments (postPCI) 3.08 (3.11) NA (NA) 3.08 (3.11)
N. of hypokinetic segments (postPCI) 2.50 (1.63) NA (NA) 2.50 (1.63)
N. of dyskinetic segments (postPCI) 0.28 (0.93) NA (NA) 0.28 (0.93)
N. of aneurysmal segments (postPCI) 0 / 40 (0%) 0 / 0 (NA%) 0 / 40 (0%)
Wall Motion Score Index (postPCI) 1.59 (0.50) NA (NA) 1.59 (0.50)
LV End-Diastolic Volume (postPCI) 94 (24) NA (NA) 94 (24)
LV End-Diastolic Volume Index (postPCI) 49 (12) NA (NA) 49 (12)
LV End-Systolic Volume (postPCI) 49 (14) NA (NA) 49 (14)
LV End-Systolic Volume Index (postPCI) 25.3 (7.2) NA (NA) 25.3 (7.2)
LV Ejection Fraction (postPCI) 48.0 (6.4) NA (NA) 48.0 (6.4)
Mitral s' (postPCI) 7.88 (2.09) NA (NA) 7.88 (2.09)
LV Interventricular Septum (postPCI) 12.33 (1.76) NA (NA) 12.33 (1.76)
LV End-Diastolic Diameter (postPCI) 47.2 (5.4) NA (NA) 47.2 (5.4)
LV Posterior Wall (postPCI) 9.38 (1.43) NA (NA) 9.38 (1.43)
TAPSE (postPCI) 22.1 (3.8) NA (NA) 22.1 (3.8)
Tricuspid s' (postPCI) 12.52 (3.44) NA (NA) 12.52 (3.44)
Systolic Pulmonary Arterial Pressure (postPCI) 24 (9) NA (NA) 24 (9)
Left Atrial Volume (postPCI) 54 (13) NA (NA) 54 (13)
Left Atrial Volume Index (postPCI) 28.2 (5.8) NA (NA) 28.2 (5.8)
E/A Ratio (postPCI) 0.91 (0.31) NA (NA) 0.91 (0.31)
E/e' Ratio (postPCI) 8.95 (2.20) NA (NA) 8.95 (2.20)
Diastolic Dysfunction (postPCI)


>0.9
    1 34 / 40 (85%) 0 / 0 (NA%) 34 / 40 (85%)
    2 2 / 40 (5.0%) 0 / 0 (NA%) 2 / 40 (5.0%)
    5 4 / 40 (10%) 0 / 0 (NA%) 4 / 40 (10%)
Mitral Regurgitation (postPCI)


>0.9
    1 7 / 40 (18%) 0 / 0 (NA%) 7 / 40 (18%)
    2 30 / 40 (75%) 0 / 0 (NA%) 30 / 40 (75%)
    3 3 / 40 (7.5%) 0 / 0 (NA%) 3 / 40 (7.5%)
Tricuspid Regurgitation (postPCI)


>0.9
    1 8 / 40 (20%) 0 / 0 (NA%) 8 / 40 (20%)
    2 32 / 40 (80%) 0 / 0 (NA%) 32 / 40 (80%)
Aortic Regurgitation (postPCI)


>0.9
    1 25 / 40 (63%) 0 / 0 (NA%) 25 / 40 (63%)
    2 15 / 40 (38%) 0 / 0 (NA%) 15 / 40 (38%)
Ventricular Thrombus (postPCI) 0 / 40 (0%) 0 / 0 (NA%) 0 / 40 (0%)
Pericardial Effusion (postPCI) 4 / 40 (10%) 0 / 0 (NA%) 4 / 40 (10%) >0.9
Max Dimension of Pericardial Effusion (postPCI) 4.25 (1.50) NA (NA) 4.25 (1.50)
Global Longitudinal Strain (postPCI) -14.3 (4.1) NA (NA) -14.3 (4.1)
Global Longitudinal Strain Endocardial (postPCI) -16.5 (5.7) NA (NA) -16.5 (5.7)
Global Longitudinal Strain Myocardial (postPCI) -14.3 (5.1) NA (NA) -14.3 (5.1)
Global Longitudinal Strain Epicardial (postPCI) -12.4 (4.4) NA (NA) -12.4 (4.4)
Infarct Zone Longitudinal Strain (postPCI) -9.7 (8.6) NA (NA) -9.7 (8.6)
Non-Infarct Zone Longitudinal Strain (postPCI) -17.2 (3.7) NA (NA) -17.2 (3.7)
Peak Strain Dispersion (postPCI) 66 (19) NA (NA) 66 (19)
Global Work Index (postPCI) 1,272 (446) NA (NA) 1,272 (446)
Global Constrictive Work (postPCI) 1,621 (494) NA (NA) 1,621 (494)
Global Wasted Work (postPCI) 236 (111) NA (NA) 236 (111)
Global Work Efficiency (postPCI) 85 (7) NA (NA) 85 (7)
Infarct Zone Work Index (postPCI) 906 (319) NA (NA) 906 (319)
Non-Infarct Zone Work Index (postPCI) 1,406 (416) NA (NA) 1,406 (416)
Infarct Zone Work Efficiency (postPCI) 77 (10) NA (NA) 77 (10)
Non-Infarct Zone Work Efficiency (postPCI) 89.0 (6.4) NA (NA) 89.0 (6.4)
Brachial Diameter Pre (postPCI) 11 (15) NA (NA) 11 (15)
Brachial Diameter Post (postPCI) 12 (16) NA (NA) 12 (16)
Flow-Mediated Dilation (postPCI) 8.9 (4.0) NA (NA) 8.9 (4.0)
Systolic Blood Pressure (Discharge) 120 (15) 132 (15) 117 (14) 0.007
Diastolic Blood Pressure (Discharge) 70 (11) 73 (11) 69 (11) 0.3
N. of akinetic segments (Discharge) 2.06 (2.68) 0.50 (1.58) 2.47 (2.78) 0.009
N. of hypokinetic segments (Discharge) 2.13 (1.85) 2.20 (3.08) 2.11 (1.43) 0.3
N. of dyskinetic segments (Discharge) 0.1458 (0.7143) 0.3000 (0.9487) 0.1053 (0.6489) 0.3
N. of aneurysmal segments (Discharge) 0 / 48 (0%) 0 / 10 (0%) 0 / 38 (0%)
Wall Motion Score Index (Discharge) 1.39 (0.36) 1.24 (0.27) 1.43 (0.37) 0.083
LV End-Diastolic Volume (Discharge) 102 (30) 107 (39) 101 (27) 0.8
LV End-Diastolic Volume Index (Discharge) 53 (13) 58 (17) 52 (12) 0.3
LV End-Systolic Volume (Discharge) 50 (16) 49 (21) 50 (15) 0.7
LV End-Systolic Volume Index (Discharge) 26 (8) 27 (10) 26 (7) >0.9
LV Ejection Fraction (Discharge) 51 (6) 56 (6) 50 (6) 0.015
Mitral s' (Discharge) 7.91 (1.41) 8.05 (1.07) 7.87 (1.49) 0.6
LV Interventricular Septum (Discharge) 12.08 (1.85) 10.80 (1.69) 12.42 (1.76) 0.010
LV End-Diastolic Diameter (Discharge) 47.5 (5.4) 49.5 (6.9) 46.9 (4.9) 0.3
LV Posterior Wall (Discharge) 9.33 (1.53) 8.50 (0.53) 9.55 (1.64) 0.014
TAPSE (Discharge) 23.42 (2.92) 24.60 (3.20) 23.11 (2.81) 0.3
Tricuspid s'(Discharge) 13.17 (2.39) 12.14 (1.68) 13.38 (2.47) 0.14
Systolic Pulmonary Arterial Pressure (Discharge) 27 (13) 28 (9) 27 (15) 0.5
Left Atrial Volume (Discharge) 53 (14) 52 (16) 53 (14) 0.6
Left Atrial Volume Index (Discharge) 28.0 (6.5) 28.6 (7.7) 27.8 (6.3) >0.9
E/A Ratio (Discharge) 0.95 (0.41) 0.89 (0.32) 0.97 (0.43) 0.9
E/e' Ratio (Discharge) 9.50 (2.92) 8.00 (2.04) 9.89 (3.00) 0.039
Diastolic Dysfunction (Discharge)


>0.9
    1 34 / 48 (71%) 7 / 10 (70%) 27 / 38 (71%)
    2 5 / 48 (10%) 1 / 10 (10%) 4 / 38 (11%)
    3 1 / 48 (2.1%) 0 / 10 (0%) 1 / 38 (2.6%)
    5 8 / 48 (17%) 2 / 10 (20%) 6 / 38 (16%)
Mitral Regurgitation (Discharge)


0.5
    1 6 / 48 (13%) 2 / 10 (20%) 4 / 38 (11%)
    2 39 / 48 (81%) 7 / 10 (70%) 32 / 38 (84%)
    3 3 / 48 (6.3%) 1 / 10 (10%) 2 / 38 (5.3%)
Tricuspid Regurgitation (Discharge)


0.3
    1 13 / 48 (27%) 3 / 10 (30%) 10 / 38 (26%)
    2 33 / 48 (69%) 6 / 10 (60%) 27 / 38 (71%)
    3 1 / 48 (2.1%) 1 / 10 (10%) 0 / 38 (0%)
    4 1 / 48 (2.1%) 0 / 10 (0%) 1 / 38 (2.6%)
Aortic Regurgitation (Discharge)


0.054
    1 33 / 48 (69%) 9 / 10 (90%) 24 / 38 (63%)
    2 13 / 48 (27%) 0 / 10 (0%) 13 / 38 (34%)
    3 2 / 48 (4.2%) 1 / 10 (10%) 1 / 38 (2.6%)
Ventricular Thrombus (Discharge) 0 / 48 (0%) 0 / 10 (0%) 0 / 38 (0%)
Pericardial Effusion (Discharge) 4 / 48 (8.3%) 1 / 10 (10%) 3 / 38 (7.9%) >0.9
Max Dimension of Pericardial Effusion (Discharge) 7.00 (4.69) 14.00 (NA) 4.67 (0.58) 0.3
Global Longitudinal Strain (Discharge) -14.8 (3.4) -15.8 (1.2) -14.5 (3.8) 0.4
Global Longitudinal Strain Endocardial (Discharge) -17.4 (4.0) -18.4 (2.0) -17.1 (4.4) 0.4
Global Longitudinal Strain Myocardial (Discharge) -15.1 (3.3) -15.9 (1.5) -14.8 (3.6) 0.4
Global Longitudinal Strain Epicardial (Discharge) -12.9 (3.0) -13.8 (1.7) -12.7 (3.2) 0.3
Infarct Zone Longitudinal Strain (Discharge) -9.5 (3.4) NA (NA) -9.5 (3.4)
Non-Infarct Zone Longitudinal Strain (Discharge) -16.9 (3.3) NA (NA) -16.9 (3.3)
Peak Strain Dispersion (Discharge) 68 (23) 69 (19) 68 (25) 0.7
Global Work Index (Discharge) 1,358 (430) 1,547 (293) 1,309 (449) 0.082
Global Constrictive Work (Discharge) 1,673 (470) 1,937 (368) 1,604 (473) 0.030
Global Wasted Work (Discharge) 184 (120) 243 (169) 168 (100) 0.12
Global Work Efficiency (Discharge) 88.3 (6.7) 87.2 (6.7) 88.6 (6.7) 0.5
Infarct Zone Work Index (Discharge) 883 (301) NA (NA) 883 (301)
Non-Infarct Zone Work Index (Discharge) 1,401 (452) NA (NA) 1,401 (452)
Infarct Zone Work Efficiency (Discharge) 81 (12) NA (NA) 81 (12)
Non-Infarct Zone Work Efficiency (Discharge) 91.4 (5.6) NA (NA) 91.4 (5.6)
Brachial Diameter Pre (Discharge) 10 (14) 3 (NA) 11 (14) 0.3
Brachial Diameter Post (Discharge) 12 (15) 4 (NA) 12 (15) 0.2
Flow-Mediated Dilation (Discharge) 9.8 (3.8) 9.0 (NA) 9.8 (3.8) 0.8
Systolic Blood Pressure (Follow-Up) 122 (16) 122 (14) 122 (16) 0.6
Diastolic Blood Pressure (Follow-Up) 71 (9) 73 (9) 70 (9) 0.2
N. of akinetic segments (Follow-Up) 1.28 (2.56) 0.30 (0.95) 1.53 (2.77) 0.2
N. of hypokinetic segments (Follow-Up) 2.00 (1.55) 1.20 (1.55) 2.20 (1.51) 0.11
N. of dyskinetic segments (Follow-Up) 0.0200 (0.1414) 0.1000 (0.3162) 0.0000 (0.0000) 0.051
N. of aneurysmal segments (Follow-Up) 0.0200 (0.1414) 0.0000 (0.0000) 0.0250 (0.1581) 0.7
Wall Motion Score Index (Follow-Up) 1.28 (0.34) 1.11 (0.17) 1.32 (0.36) 0.024
LV End-Diastolic Volume (Follow-Up) 104 (29) 110 (36) 103 (27) 0.6
LV End-Diastolic Volume Index (Follow-Up) 55 (13) 59 (15) 54 (13) 0.3
LV End-Systolic Volume (Follow-Up) 48 (18) 47 (21) 48 (18) 0.7
LV End-Systolic Volume Index (Follow-Up) 25 (9) 25 (10) 25 (9) 0.9
LV Ejection Fraction (Follow-Up) 55 (8) 59 (7) 54 (7) 0.084
Mitral s' (Follow-Up) 8.43 (2.23) 8.60 (1.26) 8.39 (2.43) 0.3
LV Interventricular Septum (Follow-Up) 11.22 (1.52) 10.70 (1.70) 11.35 (1.46) 0.088
LV End-Diastolic Diameter (Follow-Up) 49.1 (5.7) 50.5 (6.3) 48.8 (5.6) 0.5
LV Posterior Wall (Follow-Up) 9.00 (1.09) 8.70 (0.67) 9.08 (1.16) 0.2
TAPSE (Follow-Up) 23.1 (3.9) 25.5 (4.1) 22.6 (3.7) 0.039
Tricuspid s' (Follow-Up) 13.65 (3.15) 14.43 (5.19) 13.51 (2.71) 0.9
Systolic Pulmonary Arterial Pressure (Follow-Up) 25.2 (6.4) 25.7 (6.0) 25.1 (6.6) >0.9
Left Atrial Volume (Follow-Up) 54 (14) 51 (16) 54 (13) 0.6
Left Atrial Volume Index (Follow-Up) 28.3 (6.1) 27.7 (7.8) 28.5 (5.7) 0.8
E/A Ratio (Follow-Up) 0.93 (0.36) 0.92 (0.23) 0.94 (0.39) 0.7
E/e' Ratio (Follow-Up) 8.87 (2.72) 8.01 (2.07) 9.09 (2.84) 0.2
Diastolic Dysfunction (Follow-Up)


0.14
    1 40 / 50 (80%) 6 / 10 (60%) 34 / 40 (85%)
    2 2 / 50 (4.0%) 1 / 10 (10%) 1 / 40 (2.5%)
    3 1 / 50 (2.0%) 0 / 10 (0%) 1 / 40 (2.5%)
    4 1 / 50 (2.0%) 0 / 10 (0%) 1 / 40 (2.5%)
    5 6 / 50 (12%) 3 / 10 (30%) 3 / 40 (7.5%)
Mitral Regurgitation (Follow-Up)


0.6
    1 3 / 50 (6.0%) 1 / 10 (10%) 2 / 40 (5.0%)
    2 46 / 50 (92%) 9 / 10 (90%) 37 / 40 (93%)
    3 1 / 50 (2.0%) 0 / 10 (0%) 1 / 40 (2.5%)
Tricuspid Regurgitation (Follow-Up)


>0.9
    1 10 / 50 (20%) 2 / 10 (20%) 8 / 40 (20%)
    2 40 / 50 (80%) 8 / 10 (80%) 32 / 40 (80%)
Aortic Regurgitation (Follow-Up)


0.071
    1 36 / 50 (72%) 9 / 10 (90%) 27 / 40 (68%)
    2 12 / 50 (24%) 0 / 10 (0%) 12 / 40 (30%)
    3 2 / 50 (4.0%) 1 / 10 (10%) 1 / 40 (2.5%)
Ventricular Thrombus (Follow-Up) 0 / 50 (0%) 0 / 10 (0%) 0 / 40 (0%)
Pericardial Effusion (Follow-Up) 1 / 50 (2.0%) 1 / 10 (10%) 0 / 40 (0%) 0.2
Max Dimension of Pericardial Effusion (Follow-Up) 6.0000 (NA) 6.0000 (NA) NA (NA)
Global Longitudinal Strain (Follow-Up) -16.5 (3.5) -17.4 (2.2) -16.2 (3.7) 0.8
Global Longitudinal Strain Endocardial (Follow-Up) -19.4 (4.5) -19.0 (3.0) -19.5 (4.8) 0.3
Global Longitudinal Strain Myocardial (Follow-Up) -17.0 (3.8) -16.9 (2.6) -17.1 (4.1) 0.6
Global Longitudinal Strain Epicardial (Follow-Up) -14.9 (3.3) -14.8 (2.3) -14.9 (3.5) 0.7
Infarct Zone Longitudinal Strain (Follow-Up) -12.2 (4.2) NA (NA) -12.2 (4.2)
Non-Infarct Zone Longitudinal Strain (Follow-Up) -18.1 (3.6) NA (NA) -18.1 (3.6)
Peak Strain Dispersion (Follow-Up) 63 (17) 60 (16) 64 (17) 0.6
Global Work Index (Follow-Up) 1,533 (430) 1,610 (335) 1,514 (452) 0.5
Global Constrictive Work (Follow-Up) 1,878 (512) 2,086 (474) 1,826 (513) 0.13
Global Wasted Work (Follow-Up) 199 (158) 182 (104) 204 (170) >0.9
Global Work Efficiency (Follow-Up) 89 (7) 91 (3) 89 (8) >0.9
Infarct Zone Work Index (Follow-Up) 1,199 (431) NA (NA) 1,199 (431)
Non-Infarct Zone Work Index (Follow-Up) 1,613 (448) NA (NA) 1,613 (448)
Infarct Zone Work Efficiency (Follow-Up) 83 (11) NA (NA) 83 (11)
Non-Infarct Zone Work Efficiency (Follow-Up) 93.3 (6.8) NA (NA) 93.3 (6.8)
Brachial Diameter Pre (Follow-Up) 14 (16) NA (NA) 14 (16)
Brachial Diameter Post (Follow-Up) 15 (18) NA (NA) 15 (18)
Flow-Mediated Dilation (Follow-Up) 12.0 (4.2) NA (NA) 12.0 (4.2)
1 Mean (SD); n / N (%)
2 Wilcoxon rank sum test; Fisher’s exact test; Wilcoxon rank sum exact test

### Table 2 Echocardiography: Variations overtime in STEMI
Characteristic Overall, N = 1201 postPCI, N = 401 inHospital, N = 401 Follow-Up, N = 401 p-value2
type




    STEMI 120 / 120 (100%) 40 / 40 (100%) 40 / 40 (100%) 40 / 40 (100%)
P2Y12i



>0.9
    1 51 / 120 (43%) 17 / 40 (43%) 17 / 40 (43%) 17 / 40 (43%)
    2 60 / 120 (50%) 20 / 40 (50%) 20 / 40 (50%) 20 / 40 (50%)
    3 9 / 120 (7.5%) 3 / 40 (7.5%) 3 / 40 (7.5%) 3 / 40 (7.5%)
P2Y12i_intention



>0.9
    1 63 / 120 (53%) 21 / 40 (53%) 21 / 40 (53%) 21 / 40 (53%)
    2 57 / 120 (48%) 19 / 40 (48%) 19 / 40 (48%) 19 / 40 (48%)
Systolic Blood Pressure (mmHg) 119 (16) 119 (17) 117 (14) 122 (16) 0.4
Diastolic Blood Pressure (mmHg) 71 (11) 74 (12) 69 (11) 70 (9) 0.2
Number of Akinetic Segments 2.36 (2.94) 3.08 (3.11) 2.47 (2.78) 1.53 (2.77) 0.009
Number of Hypokinetic Segments 2.27 (1.52) 2.50 (1.63) 2.11 (1.43) 2.20 (1.51) 0.5
Number of Dyskinetic Segments 0.1271 (0.6608) 0.2750 (0.9334) 0.1053 (0.6489) 0.0000 (0.0000) 0.075
Number of Aneurysmal Segments 0.0085 (0.0921) 0.0000 (0.0000) 0.0000 (0.0000) 0.0250 (0.1581) 0.4
Wall Motion Score Index 1.45 (0.43) 1.59 (0.50) 1.43 (0.37) 1.32 (0.36) 0.002
Left Ventricular End-Diastolic Volume (ml) 99 (26) 94 (24) 101 (27) 103 (27) 0.4
Left Ventricular End-Diastolic Volume Index (ml/m²) 51 (12) 49 (12) 52 (12) 54 (13) 0.2
Left Ventricular End-Systolic Volume (ml) 49 (16) 49 (14) 50 (15) 48 (18) 0.7
Left Ventricular End-Systolic Volume Index (ml/m²) 25 (8) 25 (7) 26 (7) 25 (9) 0.7
Left Ventricular Ejection Fraction (%) 50 (7) 48 (6) 50 (6) 54 (7) <0.001
Mitral s' Velocity (cm/s) 8.05 (2.05) 7.88 (2.09) 7.87 (1.49) 8.39 (2.43) 0.5
Interventricular Septum Diameter (mm) 12.03 (1.72) 12.33 (1.76) 12.42 (1.76) 11.35 (1.46) 0.015
Left Ventricular End-Diastolic Diameter (mm) 47.6 (5.3) 47.2 (5.4) 46.9 (4.9) 48.8 (5.6) 0.3
Left Ventricular Posterior Wall Thickness (mm) 9.33 (1.42) 9.38 (1.43) 9.55 (1.64) 9.08 (1.16) 0.3
Tricuspid Annular Plane Systolic Excursion (mm) 22.6 (3.5) 22.1 (3.8) 23.1 (2.8) 22.6 (3.7) 0.2
Tricuspid s' Velocity (cm/s) 13.13 (2.93) 12.52 (3.44) 13.38 (2.47) 13.51 (2.71) 0.4
Systolic Pulmonary Artery Pressure (mmHg) 25 (10) 24 (9) 27 (15) 25 (7) >0.9
Left Atrial Volume (ml) 54 (13) 54 (13) 53 (14) 54 (13) 0.9
Left Atrial Volume Index (ml/m²) 28.2 (5.9) 28.2 (5.8) 27.8 (6.3) 28.5 (5.7) 0.7
E/A Ratio 0.94 (0.38) 0.91 (0.31) 0.97 (0.43) 0.94 (0.39) >0.9
E/e' Ratio 9.30 (2.71) 8.95 (2.20) 9.89 (3.00) 9.09 (2.84) 0.3
Diastolic Dysfunction



0.5
    1 95 / 118 (81%) 34 / 40 (85%) 27 / 38 (71%) 34 / 40 (85%)
    2 7 / 118 (5.9%) 2 / 40 (5.0%) 4 / 38 (11%) 1 / 40 (2.5%)
    3 2 / 118 (1.7%) 0 / 40 (0%) 1 / 38 (2.6%) 1 / 40 (2.5%)
    4 1 / 118 (0.8%) 0 / 40 (0%) 0 / 38 (0%) 1 / 40 (2.5%)
    5 13 / 118 (11%) 4 / 40 (10%) 6 / 38 (16%) 3 / 40 (7.5%)
Mitral Regurgitation



0.3
    1 13 / 118 (11%) 7 / 40 (18%) 4 / 38 (11%) 2 / 40 (5.0%)
    2 99 / 118 (84%) 30 / 40 (75%) 32 / 38 (84%) 37 / 40 (93%)
    3 6 / 118 (5.1%) 3 / 40 (7.5%) 2 / 38 (5.3%) 1 / 40 (2.5%)
Tricuspid Regurgitation



0.7
    1 26 / 118 (22%) 8 / 40 (20%) 10 / 38 (26%) 8 / 40 (20%)
    2 91 / 118 (77%) 32 / 40 (80%) 27 / 38 (71%) 32 / 40 (80%)
    4 1 / 118 (0.8%) 0 / 40 (0%) 1 / 38 (2.6%) 0 / 40 (0%)
Aortic Regurgitation



0.9
    1 76 / 118 (64%) 25 / 40 (63%) 24 / 38 (63%) 27 / 40 (68%)
    2 40 / 118 (34%) 15 / 40 (38%) 13 / 38 (34%) 12 / 40 (30%)
    3 2 / 118 (1.7%) 0 / 40 (0%) 1 / 38 (2.6%) 1 / 40 (2.5%)
Ventricular Thrombus 0 / 118 (0%) 0 / 40 (0%) 0 / 38 (0%) 0 / 40 (0%)
Maximum Dimension of Thrombus (mm) 0 / 0 (NA%) 0 / 0 (NA%) 0 / 0 (NA%) 0 / 0 (NA%)
Pericardial Effusion 7 / 118 (5.9%) 4 / 40 (10%) 3 / 38 (7.9%) 0 / 40 (0%) 0.13
Max Dimension of Pericardial Effusion (mm) 4.43 (1.13) 4.25 (1.50) 4.67 (0.58) NA (NA) 0.7
Global Longitudinal Strain (%) -15.0 (3.9) -14.3 (4.1) -14.5 (3.8) -16.2 (3.7) 0.015
Global Longitudinal Strain Endocardial (%) -17.7 (5.1) -16.5 (5.7) -17.1 (4.4) -19.5 (4.8) 0.009
Global Longitudinal Strain Myocardial (%) -15.4 (4.5) -14.3 (5.1) -14.8 (3.6) -17.1 (4.1) 0.004
Global Longitudinal Strain Epicardial (%) -13.4 (3.9) -12.4 (4.4) -12.7 (3.2) -14.9 (3.5) 0.002
Infarct Zone Longitudinal Strain (%) -10.5 (6.0) -9.7 (8.6) -9.5 (3.4) -12.2 (4.2) <0.001
Non-Infarct Zone Longitudinal Strain (%) -17.4 (3.5) -17.2 (3.7) -16.9 (3.3) -18.1 (3.6) 0.11
Peak Strain Dispersion (ms) 66 (20) 66 (19) 68 (25) 64 (17) 0.9
Global Work Index (mmHg%) 1,366 (458) 1,272 (446) 1,309 (449) 1,514 (452) 0.017
Global Constrictive Work (mmHg%) 1,685 (500) 1,621 (494) 1,604 (473) 1,826 (513) 0.052
Global Wasted Work (mmHg%) 203 (133) 236 (111) 168 (100) 204 (170) 0.007
Global Work Efficiency (%) 88 (7) 85 (7) 89 (7) 89 (8) 0.003
Infarct Zone Work Index (mmHg%) 998 (381) 906 (319) 883 (301) 1,199 (431) <0.001
Non-Infarct Zone Work Index (mmHg%) 1,475 (446) 1,406 (416) 1,401 (452) 1,613 (448) 0.035
Infarct Zone Work Efficiency (%) 80 (11) 77 (10) 81 (12) 83 (11) 0.009
Non-Infarct Zone Work Efficiency (%) 91.2 (6.5) 89.0 (6.4) 91.4 (5.6) 93.3 (6.8) 0.007
Brachial Artery Diameter Pre (mm) 12 (15) 11 (15) 11 (14) 14 (16) 0.8
Brachial Artery Diameter Post (mm) 13 (17) 12 (16) 12 (15) 15 (18) 0.7
Flow-Mediated Dilation (%) 10.3 (4.2) 8.9 (4.0) 9.8 (3.8) 12.0 (4.2) 0.004
1 n / N (%); Mean (SD)
2 Fisher’s exact test; Pearson’s Chi-squared test; Kruskal-Wallis rank sum test

### Table 3 Echocardiography: Variations overtime between STEMI patients treated with Ticagrelor and Prasugrel
Characteristic 1 2
Overall, N = 631 postPCI, N = 211 inHospital, N = 211 Follow-Up, N = 211 p-value2 Overall, N = 571 postPCI, N = 191 inHospital, N = 191 Follow-Up, N = 191 p-value3
type









    STEMI 63 / 63 (100%) 21 / 21 (100%) 21 / 21 (100%) 21 / 21 (100%)
57 / 57 (100%) 19 / 19 (100%) 19 / 19 (100%) 19 / 19 (100%)
P2Y12i



>0.9




    1 51 / 63 (81%) 17 / 21 (81%) 17 / 21 (81%) 17 / 21 (81%)





    2 3 / 63 (4.8%) 1 / 21 (4.8%) 1 / 21 (4.8%) 1 / 21 (4.8%)
57 / 57 (100%) 19 / 19 (100%) 19 / 19 (100%) 19 / 19 (100%)
    3 9 / 63 (14%) 3 / 21 (14%) 3 / 21 (14%) 3 / 21 (14%)





Systolic Blood Pressure (mmHg) 118 (14) 120 (16) 115 (14) 119 (12) 0.3 121 (17) 119 (19) 119 (13) 125 (20) 0.7
Diastolic Blood Pressure (mmHg) 69 (10) 73 (9) 66 (11) 68 (9) 0.084 73 (12) 76 (15) 72 (10) 72 (9) 0.8
Number of Akinetic Segments 2.03 (2.89) 2.62 (3.17) 2.11 (2.56) 1.38 (2.87) 0.12 2.70 (2.98) 3.58 (3.04) 2.84 (3.00) 1.68 (2.73) 0.075
Number of Hypokinetic Segments 2.46 (1.54) 2.71 (1.93) 2.32 (1.42) 2.33 (1.24) 0.7 2.07 (1.49) 2.26 (1.24) 1.89 (1.45) 2.05 (1.78) 0.6
Number of Dyskinetic Segments 0.0984 (0.5688) 0.2857 (0.9562) 0.0000 (0.0000) 0.0000 (0.0000) 0.14 0.16 (0.75) 0.26 (0.93) 0.21 (0.92) 0.00 (0.00) 0.4
Number of Aneurysmal Segments 0.0000 (0.0000) 0.0000 (0.0000) 0.0000 (0.0000) 0.0000 (0.0000)
0.0175 (0.1325) 0.0000 (0.0000) 0.0000 (0.0000) 0.0526 (0.2294) 0.4
Wall Motion Score Index 1.41 (0.35) 1.53 (0.37) 1.38 (0.29) 1.31 (0.35) 0.022 1.49 (0.50) 1.66 (0.61) 1.48 (0.44) 1.33 (0.38) 0.060
Left Ventricular End-Diastolic Volume (ml) 94 (27) 89 (25) 98 (29) 97 (27) 0.4 104 (25) 100 (23) 104 (25) 109 (27) 0.8
Left Ventricular End-Diastolic Volume Index (ml/m²) 48 (12) 45 (10) 50 (13) 50 (12) 0.3 54 (12) 52 (12) 54 (12) 57 (13) 0.6
Left Ventricular End-Systolic Volume (ml) 46 (15) 46 (14) 49 (16) 45 (16) 0.6 51 (16) 52 (14) 51 (15) 52 (20) 0.9
Left Ventricular End-Systolic Volume Index (ml/m²) 24 (7) 24 (7) 25 (8) 23 (8) 0.6 27 (8) 27 (8) 26 (7) 27 (10) >0.9
Left Ventricular Ejection Fraction (%) 51 (7) 49 (7) 50 (6) 54 (7) 0.004 50 (7) 47 (6) 49 (6) 53 (8) 0.040
Mitral s' Velocity (cm/s) 7.98 (1.63) 7.93 (1.66) 7.79 (1.58) 8.21 (1.70) 0.6 8.12 (2.43) 7.82 (2.53) 7.95 (1.44) 8.58 (3.08) 0.8
Interventricular Septum Diameter (mm) 12.03 (1.93) 12.38 (2.06) 12.42 (2.12) 11.33 (1.46) 0.2 12.02 (1.48) 12.26 (1.41) 12.42 (1.39) 11.37 (1.50) 0.10
Left Ventricular End-Diastolic Diameter (mm) 47.4 (5.3) 47.1 (5.6) 46.2 (4.9) 48.9 (5.1) 0.2 47.9 (5.5) 47.3 (5.4) 47.7 (4.9) 48.6 (6.2) 0.9
Left Ventricular Posterior Wall Thickness (mm) 9.36 (1.63) 9.48 (1.72) 9.32 (2.00) 9.29 (1.19) >0.9 9.30 (1.16) 9.26 (1.05) 9.79 (1.18) 8.84 (1.12) 0.052
Tricuspid Annular Plane Systolic Excursion (mm) 22.3 (3.8) 21.9 (4.1) 23.1 (3.3) 22.0 (4.1) 0.5 22.86 (3.00) 22.32 (3.42) 23.16 (2.36) 23.11 (3.21) 0.4
Tricuspid s' Velocity (cm/s) 13.51 (2.86) 12.80 (3.09) 13.82 (2.24) 13.95 (3.09) 0.4 12.73 (2.98) 12.22 (3.85) 12.94 (2.68) 13.05 (2.25) 0.8
Systolic Pulmonary Artery Pressure (mmHg) 25.8 (6.1) 25.1 (6.8) 26.7 (5.3) 25.9 (6.1) 0.8 25 (13) 23 (11) 27 (20) 24 (7) 0.7
Left Atrial Volume (ml) 51 (13) 52 (13) 50 (12) 51 (13) >0.9 56 (13) 55 (12) 56 (15) 58 (13) 0.8
Left Atrial Volume Index (ml/m²) 26.8 (5.5) 27.4 (6.0) 26.4 (5.1) 26.7 (5.5) >0.9 29.6 (6.0) 29.2 (5.7) 29.2 (7.2) 30.4 (5.3) 0.6
E/A Ratio 0.94 (0.31) 0.94 (0.30) 0.94 (0.39) 0.93 (0.25) 0.8 0.94 (0.44) 0.88 (0.33) 1.00 (0.49) 0.95 (0.50) 0.8
E/e' Ratio 8.83 (2.18) 8.53 (1.85) 9.49 (2.64) 8.53 (1.97) 0.5 9.79 (3.11) 9.40 (2.50) 10.30 (3.35) 9.68 (3.50) 0.6
Diastolic Dysfunction



0.7



0.9
    1 52 / 61 (85%) 18 / 21 (86%) 15 / 19 (79%) 19 / 21 (90%)
43 / 57 (75%) 16 / 19 (84%) 12 / 19 (63%) 15 / 19 (79%)
    2 3 / 61 (4.9%) 1 / 21 (4.8%) 2 / 19 (11%) 0 / 21 (0%)
4 / 57 (7.0%) 1 / 19 (5.3%) 2 / 19 (11%) 1 / 19 (5.3%)
    4 1 / 61 (1.6%) 0 / 21 (0%) 0 / 19 (0%) 1 / 21 (4.8%)





    5 5 / 61 (8.2%) 2 / 21 (9.5%) 2 / 19 (11%) 1 / 21 (4.8%)
8 / 57 (14%) 2 / 19 (11%) 4 / 19 (21%) 2 / 19 (11%)
    3




2 / 57 (3.5%) 0 / 19 (0%) 1 / 19 (5.3%) 1 / 19 (5.3%)
Mitral Regurgitation



0.2



0.7
    1 3 / 61 (4.9%) 3 / 21 (14%) 0 / 19 (0%) 0 / 21 (0%)
10 / 57 (18%) 4 / 19 (21%) 4 / 19 (21%) 2 / 19 (11%)
    2 52 / 61 (85%) 15 / 21 (71%) 17 / 19 (89%) 20 / 21 (95%)
47 / 57 (82%) 15 / 19 (79%) 15 / 19 (79%) 17 / 19 (89%)
    3 6 / 61 (9.8%) 3 / 21 (14%) 2 / 19 (11%) 1 / 21 (4.8%)





Tricuspid Regurgitation



>0.9



0.7
    1 12 / 61 (20%) 4 / 21 (19%) 4 / 19 (21%) 4 / 21 (19%)
14 / 57 (25%) 4 / 19 (21%) 6 / 19 (32%) 4 / 19 (21%)
    2 49 / 61 (80%) 17 / 21 (81%) 15 / 19 (79%) 17 / 21 (81%)
42 / 57 (74%) 15 / 19 (79%) 12 / 19 (63%) 15 / 19 (79%)
    4




1 / 57 (1.8%) 0 / 19 (0%) 1 / 19 (5.3%) 0 / 19 (0%)
Aortic Regurgitation



0.9



0.8
    1 37 / 61 (61%) 12 / 21 (57%) 12 / 19 (63%) 13 / 21 (62%)
39 / 57 (68%) 13 / 19 (68%) 12 / 19 (63%) 14 / 19 (74%)
    2 22 / 61 (36%) 9 / 21 (43%) 6 / 19 (32%) 7 / 21 (33%)
18 / 57 (32%) 6 / 19 (32%) 7 / 19 (37%) 5 / 19 (26%)
    3 2 / 61 (3.3%) 0 / 21 (0%) 1 / 19 (5.3%) 1 / 21 (4.8%)





Ventricular Thrombus 0 / 61 (0%) 0 / 21 (0%) 0 / 19 (0%) 0 / 21 (0%)
0 / 57 (0%) 0 / 19 (0%) 0 / 19 (0%) 0 / 19 (0%)
Maximum Dimension of Thrombus (mm) 0 / 0 (NA%) 0 / 0 (NA%) 0 / 0 (NA%) 0 / 0 (NA%)
0 / 0 (NA%) 0 / 0 (NA%) 0 / 0 (NA%) 0 / 0 (NA%)
Pericardial Effusion 1 / 61 (1.6%) 0 / 21 (0%) 1 / 19 (5.3%) 0 / 21 (0%) 0.3 6 / 57 (11%) 4 / 19 (21%) 2 / 19 (11%) 0 / 19 (0%) 0.15
Max Dimension of Pericardial Effusion (mm) 5.0000 (NA) NA (NA) 5.0000 (NA) NA (NA)
4.33 (1.21) 4.25 (1.50) 4.50 (0.71) NA (NA) 0.8
Global Longitudinal Strain (%) -15.4 (3.8) -14.9 (4.0) -14.6 (3.5) -16.5 (3.8) 0.12 -14.6 (4.1) -13.5 (4.1) -14.3 (4.1) -15.9 (3.8) 0.074
Global Longitudinal Strain Endocardial (%) -18.2 (4.8) -17.3 (5.1) -17.4 (4.1) -19.9 (4.9) 0.031 -17.2 (5.5) -15.6 (6.3) -16.9 (4.9) -19.0 (4.8) 0.12
Global Longitudinal Strain Myocardial (%) -15.8 (4.2) -14.9 (4.6) -15.0 (3.3) -17.4 (4.2) 0.026 -15.0 (4.7) -13.5 (5.6) -14.6 (4.0) -16.7 (4.1) 0.090
Global Longitudinal Strain Epicardial (%) -13.7 (3.8) -13.0 (4.1) -12.8 (3.2) -15.1 (3.7) 0.035 -13.0 (4.0) -11.6 (4.7) -12.6 (3.4) -14.7 (3.4) 0.043
Infarct Zone Longitudinal Strain (%) -10.5 (4.1) -8.9 (3.8) -9.9 (3.5) -12.6 (4.2) 0.006 -10.5 (7.5) -10.5 (12.0) -9.2 (3.5) -11.8 (4.1) 0.017
Non-Infarct Zone Longitudinal Strain (%) -17.7 (3.7) -17.8 (4.1) -17.0 (2.9) -18.1 (4.2) 0.3 -17.2 (3.3) -16.6 (3.2) -16.8 (3.7) -18.0 (2.8) 0.2
Peak Strain Dispersion (ms) 59 (17) 61 (20) 58 (18) 59 (15) >0.9 74 (21) 73 (16) 80 (27) 70 (19) 0.6
Global Work Index (mmHg%) 1,375 (448) 1,293 (449) 1,312 (429) 1,514 (450) 0.11 1,356 (472) 1,249 (454) 1,306 (480) 1,513 (466) 0.2
Global Constrictive Work (mmHg%) 1,691 (490) 1,629 (515) 1,616 (458) 1,822 (490) 0.2 1,678 (515) 1,612 (483) 1,591 (499) 1,830 (552) 0.3
Global Wasted Work (mmHg%) 183 (102) 217 (90) 164 (107) 167 (104) 0.077 225 (158) 257 (130) 173 (95) 244 (217) 0.086
Global Work Efficiency (%) 88 (7) 86 (7) 89 (6) 90 (8) 0.047 87 (7) 84 (7) 88 (7) 88 (7) 0.070
Infarct Zone Work Index (mmHg%) 1,021 (395) 926 (322) 903 (319) 1,223 (455) 0.020 973 (368) 884 (323) 863 (289) 1,172 (415) 0.027
Non-Infarct Zone Work Index (mmHg%) 1,468 (448) 1,404 (397) 1,382 (454) 1,609 (475) 0.10 1,482 (449) 1,408 (447) 1,421 (462) 1,618 (428) 0.3
Infarct Zone Work Efficiency (%) 81 (11) 78 (8) 81 (13) 83 (11) 0.15 80 (11) 75 (11) 81 (11) 82 (11) 0.058
Non-Infarct Zone Work Efficiency (%) 92 (8) 89 (8) 91 (7) 94 (9) 0.2 90.9 (4.1) 88.7 (4.2) 91.8 (3.9) 92.2 (3.5) 0.017
Brachial Artery Diameter Pre (mm) 12 (15) 11 (15) 11 (15) 14 (16) 0.9 11 (15) 11 (15) 10 (13) 14 (17) 0.9
Brachial Artery Diameter Post (mm) 13 (17) 12 (16) 13 (16) 15 (18) >0.9 13 (16) 11 (16) 11 (15) 15 (18) 0.8
Flow-Mediated Dilation (%) 11.3 (4.4) 9.9 (4.3) 10.5 (4.2) 13.2 (4.3) 0.048 9.2 (3.8) 7.7 (3.5) 9.1 (3.4) 10.7 (3.9) 0.077
1 n / N (%); Mean (SD)
2 Fisher’s exact test; Kruskal-Wallis rank sum test
3 Kruskal-Wallis rank sum test; Fisher’s exact test; Pearson’s Chi-squared test