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The predictive value of PRECISE-DAPT score for arrhythmic complications in patients with ST-elevation myocardial

Ersin Yildirim1, Ceyhan Turkkan2, Kazim Serhan Ozcan2

  • 1Department of Cardiology, University of Health Sciences, Istanbul Umraniye Education and Research Hospital.

Coronary Artery Disease
|October 1, 2019
PubMed

Insights

The PRECISE-DAPT score predicts arrhythmias like high-degree atrioventricular block and atrial fibrillation in ST-segment elevation myocardial infarction patients after percutaneous coronary intervention.

Area of Science:

  • Cardiology
  • Clinical Prediction Models

Background:

  • ST-segment elevation myocardial infarction (STEMI) is a critical condition requiring prompt intervention.
  • Percutaneous coronary intervention (PCI) is the standard treatment for STEMI.
  • Arrhythmias are common complications following PCI in STEMI patients.

Purpose of the Study:

  • To evaluate the PRECISE-DAPT score's ability to predict arrhythmias in STEMI patients undergoing primary PCI.
  • To determine if a higher PRECISE-DAPT score is associated with an increased risk of in-hospital arrhythmias.

Main Methods:

  • A cohort of 706 STEMI patients undergoing primary PCI was analyzed.
  • Patients were stratified into two groups based on the PRECISE-DAPT score (≥25 vs. <25).
  • In-hospital arrhythmia development was compared between the two groups.

Main Results:

  • Patients with a PRECISE-DAPT score ≥25 had significantly higher rates of high-degree atrioventricular block (17.2% vs. 4.9%), ventricular tachycardia (11.2% vs. 4.6%), and atrial fibrillation (13.8% vs. 3.1%).
  • Ventricular fibrillation rates did not differ significantly between groups (9.5% vs. 8.3%).
  • Multivariable analysis confirmed PRECISE-DAPT score as an independent predictor of high-degree atrioventricular block (OR: 6.38) and atrial fibrillation (OR: 4.33).

Conclusions:

  • The PRECISE-DAPT score is a valuable tool for predicting the risk of high-degree atrioventricular block and atrial fibrillation in STEMI patients post-PCI.
  • Higher PRECISE-DAPT scores are associated with increased arrhythmia risk, aiding in risk stratification and patient management.
Abstract

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