This prospective cohort of 2464 STEMI patients, 3% had stent thrombosis (ST). Those with ST had higher peak CK values, and required longer angiography procedure times and contrast load. Although PCI was successful in restoring flow 96% of the time, the 6 month angiographic restenosis/reocclusion rate was 54%, the 6 month non-fatal MI rate was 10%, and 6 month death was 12% (all significantly higher than the STEMI patients without ST). Stent thrombosis is associated with larger infarcts and worse outcomes (abstract).
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.