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Prognostic Analysis for Cardiogenic Shock in Patients with Acute Myocardial Infarction Receiving Percutaneous Coronary Intervention

Year: 2017

Type: article

Abstract: Cardiogenic shock (CS) is uncommon in patients suffering from acute myocardial infarction (AMI). Long-term outcome and adverse predictors for outcomes in AMI patients with CS receiving percutaneous coronary interventions (PCI) are unclear. A total of 482 AMI patients who received PCI were collected, including 53 CS and 429 non-CS. Predictors for AMI patients with CS including recurrent MI, cardiovascular (CV) mortality, all-cause mortality, and repeated-PCI were analyzed. The CS group had a lower central systolic pressure and central diastolic pressure (both P<0.001 ). AMI patients with hypertension history were less prone to develop CS ( P<0.001 ). Calcium channel blockers and statins were less frequently used by the CS group than the non-CS group (both P<0.05 ) after discharge. Synergy between Percutaneous Coronary Intervention with Taxus and Cardiac Surgery (SYNTAX) score, CV mortality, and all-cause mortality were higher in the CS group than the non-CS group (all P<0.005 ). For patients with CS, stroke history was a predictor of recurrent MI ( P=0.036 ). CS, age, SYNTAX score, and diabetes were predictors of CV mortality (all P<0.05 ). CS, age, SYNTAX score, and stroke history were predictors for all-cause mortality (all P<0.05 ). CS, age, and current smoking were predictors for repeated-PCI (all P<0.05 ).

Source: BioMed Research International

DOI: 10.1155/2017/8530539

Authors: Mao-Jen Lin, Chun-Yu Chen, Hau-De Lin, Han-Ping Wu