Evidence map›Paper›PMID 41479991›Full record

ArticleWorld journal of cardiology2025

Mild myocardial injury during percutaneous coronary intervention based on minor changes on electrocardiogram and heart rate variability.

Illya A Chaikovsky, Dmytro O Dziuba, Olga A Kryvova, Kyrylo S Malakhov, Oleksandr P Romanchuk, Borys M Todurov, Оleg A Loskutov

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Article in World journal of cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Illya A ChaikovskyDepartment of Anaesthesiology and Intensive Care, Shupyk National Healthcare University, Kyiv 04112, Ukraine.
Dmytro O DziubaDepartment of Anaesthesiology and Intensive Care, Shupyk National Healthcare University, Kyiv 04112, Ukraine.
Olga A KryvovaDepartment of Medical Information Technologies, International Research and Training Center of the National Academy of Sciences, Kyiv 03187, Ukraine.
Kyrylo S MalakhovMicroprocessor Technology Lab, V.M. Glushkov Institute of Cybernetics of the National Academy of Sciences, Kyiv 03187, Ukraine.
Oleksandr P RomanchukDepartment of Internal and Family Medicine, Lesya Ukrainka Volyn National University, Lutsk 43025, Ukraine. romanchuk.oleksandr@vnu.edu.ua.
Borys M TodurovDepartment of Cardiosurgery, X-ray and Extracorporeal Technologies, Shupyk National Healthcare University, Kyiv 04112, Ukraine.
Оleg A LoskutovDepartment of Anaesthesiology and Intensive Care, Shupyk National Healthcare University, Kyiv 04112, Ukraine.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs 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.

aimTo evaluate the utility of a novel electrocardiographic metric in detecting subtle myocardial injuries after coronary stenting.

methodsThis 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.

resultsThe 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.

conclusionThe 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.

Indexed as

Coronary artery stentingElectrocardiographyInformative electrocardiogram parametersMyocardial injuryScaling

Identifiers

PMID41479991
PMCPMC12754062

What Socratic holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.