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Published on: April 25, 2014
Major Adverse Cardiovascular Events: An Inevitable Outcome of ST-elevation myocardial infarction? A Literature Review
Ishan Poudel1, Chavi Tejpal2, Hamza Rashid3
1Internal Medicine, Department of Research, California Institute of Behavioral Neurosciences and Psychology, Fairfield, USA.
Insights
Major adverse cardiovascular events (MACE) are a significant risk for patients with ST-elevation myocardial infarction (STEMI). This review found MACE incidence in STEMI patients ranges widely from 4.2% to 51%.
Area of Science:
- Cardiology
- Clinical Research
Background:
- ST-elevation myocardial infarction (STEMI) is a critical condition associated with high mortality and morbidity.
- Major adverse cardiovascular events (MACE) are the primary drivers of poor outcomes in STEMI patients.
Purpose of the Study:
- To analyze the occurrence and incidence of MACE in patients diagnosed with STEMI.
- To review existing literature on MACE following STEMI, irrespective of treatment and follow-up duration.
Main Methods:
- A comprehensive PubMed search was conducted for studies on STEMI, yielding 24,244 articles.
- Inclusion/exclusion criteria were applied, resulting in 75 relevant articles for analysis.
- The reviewed studies included cohort studies, clinical trials (RCTs), case-control, cross-sectional, review articles, and observational studies.
Main Results:
- MACE remains a significant adverse outcome for STEMI patients.
- The incidence of MACE in STEMI patients varied widely, ranging from 4.2% to 51%.
- This incidence was observed irrespective of the treatment modality and across follow-up periods up to 10 years post-diagnosis.
Conclusions:
- MACE represents a substantial risk in the STEMI population.
- The wide incidence range highlights variability in patient populations, follow-up durations, and outcome definitions across studies.
- Further research may be needed to standardize reporting and understand factors influencing MACE occurrence in STEMI.
Abstract:
Major adverse cardiovascular events (MACE) remain the major cause of mortality and morbidity in patients with STEMI (ST-elevation myocardial infarction). The current literature is aimed to analyze the occurrence of MACE following STEMI irrespective of treatment provided, and follow up after the first diagnosis of STEMI. A PubMed search for Studies of STEMI identified 24,244 articles. After applying our inclusion/exclusion criteria, we found out 75 articles of relevance wherein MACE and its components were considered to be the primary endpoint. These 75 articles included eight Cohort Studies, 13 clinical trials including five randomized controlled trials (RCT), one case-control Study, one cross-sectional study, one review article, and 51 other observational studies. Our analysis shows that MACE remains one of the strongest adverse outcomes among STEMI patients. The current literature review found out the incidence of MACE was 4.2 % to 51% irrespective of the mode of treatment, and follow-ups lasting up to 10 years from the time of STEMI diagnosis.
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