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Determination of risk factors affecting the in-hospital prognosis of patients with acute ST segment elevation myocardial infarction after percutaneous coronary intervention.

Authors :
Rui Wang
Biqi Mei
Xinlong Liao
Xia Lu
Lulu Yan
Man Lin
Yao Zhong
Yili Chen
Tianhui You
Wang, Rui
Mei, Biqi
Liao, Xinlong
Lu, Xia
Yan, Lulu
Lin, Man
Zhong, Yao
Chen, Yili
You, Tianhui
Source :
BMC Cardiovascular Disorders; 9/12/2017, Vol. 17, p1-11, 11p, 5 Charts
Publication Year :
2017

Abstract

<bold>Background: </bold>To determine the factors affecting the in-hospital prognosis of patients with acute ST segment elevation myocardial infarction (STEMI) after percutaneous coronary intervention (PCI), and to establish its prognostic discriminant model.<bold>Methods: </bold>A total of 701 consecutive STEMI patients undergoing PCI were enrolled in this study. The patients were divided into two groups, good prognosis and poor prognosis, based on whether the patient had adverse outcomes (death or heart function ≥ grade III) at discharge. Demographic and basic clinical characteristics, diagnosis at admission (e.g., ventricular function, complications, or hyperlipidemia), and biomedical indicators (e.g., blood count, basal metabolism and biochemical composition, blood lipid and glucose levels, myocardial biomarkers, and coagulation) were collected and analyzed.<bold>Results: </bold>We determined 22 factors as risk factors for the in-hospital prognosis of STEMI patients after PCI: age, cardiac function during hospitalization, complications, history of diabetes mellitus, et al., among which the history of diabetes, uric acid, urea nitrogen, and activated partial thromboplastin time (APTT) were independent risk factors.<bold>Conclusion: </bold>We identified four independent risk factors for the in-hospital prognosis of STEMI patients after PCI and generated a prognostic model to predict the adverse outcomes of these patients. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
14712261
Volume :
17
Database :
Complementary Index
Journal :
BMC Cardiovascular Disorders
Publication Type :
Academic Journal
Accession number :
125118954
Full Text :
https://doi.org/10.1186/s12872-017-0660-9