Shock-index as a novel predictor of long-term outcome following primary percutaneous coronary intervention:
作者： Ioakim Spyridopoulos , Awsan Noman , Javed M Ahmed , Raj Das , Richard Edwards
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摘要: Early identification of higher risk patients presenting with ST-elevation myocardial infarction (STEMI) and undergoing primary percutaneous coronary intervention (PPCI) will allow a more aggressive strategy approach. The aim this study was to evaluate the shock index (ratio heart rate/systolic blood pressure on admission) as predictor mortality post PPCI in addition other parameters.Methods:We analysed prospectively collected data 3049 STEMI treated large tertiary centre between March 2008–December 2011, out which 2424 were aged up 75 years (young) 625 older than (elderly).Results:Compared younger patients, in-hospital rates four-fold elderly (11.5% vs 2.8%, odds ratio (OR) 3.5, 95% confidence interval (CI) 2.0–5.9). Cardiogenic (OR 8.7 (5.1–14.6)), non-TIMI3 (Thrombosis In Myocardial Infarction) flow (PCI) 5.0 (3.1–7.9)), age over ...
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