...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Circulation journal >Predictors of in-hospital prognosis after primary percutaneous coronary intervention for acute myocardial infarction requiring mechanical support devices.
【24h】

Predictors of in-hospital prognosis after primary percutaneous coronary intervention for acute myocardial infarction requiring mechanical support devices.

机译：需要机械支持设备的急性心肌梗死的初次经皮冠状动脉介入治疗后院内预后的预测指标。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: Predictors of in-hospital outcome after primary percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI) requiring mechanical support devices such as intra-aortic balloon pumping (IABP) and/or percutaneous cardiopulmonary support (PCPS) remain unclear. METHODS AND RESULTS: Using the AMI-Kyoto Multi-Center Risk Study database, clinical background, angiographic findings, results of primary PCI, and in-hospital prognosis were retrospectively compared between primary PCI-treated AMI patients requiring mechanical assist devices (with-IABP/PCPS patients, n=275) and those without (without-IABP/PCPS patients, n=1,510). The with-IABP/PCPS patients were more likely to have a larger number of diseased vessels, lower Thrombolysis In Myocardial Infarction (TIMI) grade in the infarct-related artery (IRA) before/after primary PCI, and a significantly higher in-hospital mortality rate than the without-IABP/PCPS patients. On multivariate analysis, the number of diseased vessels > or =2 or diseased left main trunk (LMT) at initial coronary angiography (CAG) was the independent positive predictor of the in-hospital mortality in the with-IABP/PCPS patients, not in the without-IABP/PCPS patients, whereas acquisition of TIMI 3 flow in the IRA immediately after primary PCI was the negative predictor in the without-IABP/PCPS patients, not in the with-IABP/PCPS patients. CONCLUSIONS: The number of diseased vessels > or =2 or diseased LMT at initial CAG is an independent risk factor of in-hospital death in primary PCI-treated AMI patients requiring mechanical support devices.
机译：背景：对于需要机械支持装置（例如主动脉内球囊泵（IABP）和/或经皮心肺支持（PCPS））的急性心肌梗死（AMI）进行的初次经皮冠状动脉介入治疗（PCI）后，院内预后的预测因素尚不清楚。方法和结果：使用AMI-Kyoto多中心风险研究数据库，回顾性比较了需要机械辅助装置（使用IABP）的PCI治疗的AMI患者的临床背景，血管造影结果，原发性PCI的结果以及院内预后。 / PCPS患者，n = 275）和没有患者（无IABP / PCPS患者，n = 1,510）。有IABP / PCPS的患者更可能有更多的病变血管，在原发PCI之前/之后，梗死相关动脉（IRA）的心肌梗塞溶栓（TIMI）等级较低，并且院内显着更高死亡率高于无IABP / PCPS患者。在多变量分析中，初次冠状动脉造影（CAG）时患病血管的数量≥2或患病的左主干（LMT）是IABP / PCPS患者而非住院患者的院内死亡率的独立阳性预测因子。无IABP / PCPS患者，而无IABP / PCPS患者而非原发IABP / PCPS患者，在初次PCI后立即在IRA中获得TIMI 3流是阴性预测指标。结论：在最初的CAG时，患病血管的数量>或= 2或LMT患病是需要机械支持设备的经PCI治疗的AMI最初患者院内死亡的独立危险因素。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号