In-hospital cardiac mortality after acute closure after coronary angioplasty: Analysis of risk factors from 8,207 procedures

作者: Stephen G. Ellis , Gary S. Roubin , Spencer B. King , John S. Douglas , Richard E. Shaw

DOI: 10.1016/0735-1097(88)90082-4

关键词:

摘要: Cardiac death consequent to acute vessel closure after coronary angioplasty occurred in 13 of 294 closures from 8,207 consecutive procedures performed at two centers since 1981 (0.16% cardiac mortality rate). To determine the predictors closure, 50 clinical, angiographic and procedural variables were analyzed by an observer unaware clinical outcome for each patients who died also 190 randomly chosen, whom did not result during hospitalization. Univariate analysis found female gender (p < 0.0001), collateral channels dilated use balloon counterpulsation 0.0002), pre- postprocedural hypotension = 0.0003 p 0.003, respectively), jeopardy score ≥2.5 0.003), left ventricular hypertrophy 0.013), hypertension 0.02), diabetes 0.02) multivessel disease 0.03) be predictive death. Multivariate vessels, independent death. Thus, elective is very rare experienced occurs most often women with a large amount potentially ischemic myocardium. Hypotension precedes fatal event. Close attention myocardium fluid volume status these would seem especially warranted.

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