[Influencial factors for in-hospital patients with ST segment elevation myocardial infarction after emergency...

Area of Science:

• Cardiology
• Interventional Cardiology
• Acute Myocardial Infarction Management

Background:

• Acute myocardial infarction (AMI) requires timely intervention.
• Emergency percutaneous coronary intervention (PCI) is a critical treatment for ST-segment elevation myocardial infarction (STEMI).
• Identifying prognostic factors is crucial for improving patient outcomes.

Purpose of the Study:

• To analyze clinical outcomes of emergency PCI in AMI patients.
• To identify risk factors predicting prognosis and in-hospital cardiac events.

Main Methods:

• Retrospective analysis of 304 STEMI patients undergoing emergency PCI (2010-2014).
• Patients categorized based on cardiovascular event occurrence.
• Comparison of clinical factors between groups using t-tests and chi-squared analysis.
• Logistic regression to identify predictors of in-hospital cardiac events.

Main Results:

• The incidence of adverse events was 22% (67/304).
• Statistically significant differences were observed in hematocrit (HCT), NT-proBNP, White Blood Cell count (WBC), age, Killip grade, TIMI flow post-PCI, arrhythmia, multi-vessel disease, ST-segment resolution, and door-to-balloon (D2B) time.
• Logistic analysis identified HCT, NT-proBNP, Killip grade ≥2, TIMI flow ≤2, ST-segment resolution ≥50%, and long D2B time as significant predictors of in-hospital cardiac events.

Conclusions:

• Hematocrit, NT-proBNP levels, Killip grade, post-PCI TIMI flow, ST-segment resolution, and D2B time are key predictors of in-hospital cardiac events in AMI patients undergoing emergency PCI.
• Addressing these high-risk factors can potentially improve prognosis and reduce adverse events.