Prognostic Analysis for Cardiogenic Shock in Patients with Acute Myocardial Infarction Receiving Percutaneous Coronary Intervention. (30th January 2017)

• Record Type: Journal Article
• Authors: Lin, Mao-Jen; Chen, Chun-Yu; Lin, Hau-De; Wu, Han-Ping
• Other Names: Suenari Kazuyoshi Academic Editor.
• Is Part Of: BioMed research international. Volume 2017(2017)
• Publication Date: 2017-01-30
• Subjects: Medicine -- Periodicals; Biology -- Periodicals; Biotechnology -- Periodicals; Life sciences -- Periodicals; 610.5
• DOI: 10.1155/2017/8530539
• Languages: English
• ISSNs: 2314-6133

Abstract

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 ).