Lots of interesting abstracts and cases were submitted for TCTAP 2026. Below are the accepted ones after a thorough review by our official reviewers. Don’t miss the opportunity to expand your knowledge!
ABS20251107_0007
Early Prognostic Significance of Blush Grade in Patients Undergoing Percutaneous Coronary Intervention for Acute ST-Elevation Myocardial Infarction
By Walid Jomaa, Omar Haddar, Ayoub Meddeb, Ahmed Turki, Ikram Chamtouri, Aymen Najjar, Marouane Mahjoub, Majed Hassine, Khaldoun Ben Hamda
Presenter
Walid Jomaa
Authors
Walid Jomaa1, Omar Haddar1, Ayoub Meddeb1, Ahmed Turki1, Ikram Chamtouri1, Aymen Najjar1, Marouane Mahjoub1, Majed Hassine1, Khaldoun Ben Hamda1
Affiliation
Fattouma Bourguiba University Hospital, Tunisia1
View Study Report
ABS20251107_0007
ACS/AMI
Early Prognostic Significance of Blush Grade in Patients Undergoing Percutaneous Coronary Intervention for Acute ST-Elevation Myocardial Infarction
Walid Jomaa1, Omar Haddar1, Ayoub Meddeb1, Ahmed Turki1, Ikram Chamtouri1, Aymen Najjar1, Marouane Mahjoub1, Majed Hassine1, Khaldoun Ben Hamda1
Fattouma Bourguiba University Hospital, Tunisia1
Background
Inpatients presenting with ST-elevation myocardial infarction (STEMI) andsuccessfully achieving TIMI 3 flow after urgent percutaneous coronaryintervention (PCI), myocardial perfusion remains heterogeneous. The myocardialblush grade (MBG) provides an angiographic marker of microvascular reperfusion,but its prognostic significance for in-hospital mortality is less well established.
Methods
All consecutive patients presenting with STEMI diagnosis and undergoing urgent PCI in a major tertiary care center in Tunisia from 2020 to 2024 were included prospectively. Patients were categorized according to final MBG: low MBG (grade 0–1, n = 26) and high MBG (grade 2–3, n = 332). Primary endpoint was in-hospital mortality. MBG was included in a multivariate analysis model to determine independent predictors of in-hospital death.
Results
A total of 358 patients were included. Mean age was 59.5 ± 11.6 years and 89.7% were male. Prevalence of diabetes, hypertension and tobacco smoking was 39.4%, 30.7% and 72.1%,respectively. Patients with low MBG had significantly lower mean left ventricular ejection fraction compared with those with high MBG (43.0% ± 11.9vs. 49.8% ± 10.1, p = 0.001). In multivariable logistic regression, independent predictors of in-hospital mortality were cardiogenic shock at admission (OR26.8, 95% CI 4.9–144.2, p < 0.001), three-vessel disease (OR 5.5, 95% CI1.2–25.9, p = 0.031), no-reflow phenomenon (OR 8.1, 95% CI 1.1–60.9, p =0.043), and pulmonary edema at admission (OR 6.2, 95% CI 1.6–24.2, p = 0.009). Importantly, a high MBG (2–3) was independently protective against in-hospital mortality (OR 0.07, 95% CI 0.02–0.31, p < 0.001).
Conclusion
Among STEMI patients achieving TIMI 3 flow after urgent PCI, a low MBG (0–1) is associated with impaired left ventricular function and higher in-hospital mortality. Final MBG is an independent and powerful predictor of short-term prognosis, underscoring the importance of myocardial perfusion beyond epicardial flow restoration.