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.

Cureus
|August 20, 2019
PubMed

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.

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