OUTCOMES IN PATIENTS WITH CARDIOGENIC SHOCK FOLLOWING PRIMARY PERCUTANEOUS CORONARY INTERVENTION

Authors

  • Shah Zeb
  • Al Fazir Omar
  • Rosli Bin Mohammad Ali
  • Afrah Yousaf Haroon
  • Kumara Gurupparan
  • NG Yau Piow

DOI:

https://doi.org/10.47144/phj.v51i3.1530

Abstract

Objective: To compare the outcome of percutaneous coronary intervention withor without cardiogenic shock in acute myocardial infarction.

Methodology: This cross sectional study was conducted from 1st january 2015to 31st december 2016. All consecutive STEMI patients transferred from HospitalKualalumpur to IJN via HISNET for Primary percutaneous intervention wereincluded. They were divided into cardiogenic shock (CS) and non-cardiogenicshock (Non-CS) groups. SPSS Version 24.0 was used for study analysis.

Results: A total of 277were included. Of the study population, 247(89%) were innon- cardiogenic shock while 30 (11%) were in cardiogenic shock. Most ofbaseline characteristics were similar. Diabetes was present in 16 (53.3%)patients in CS and 93 (38%)patients in Non CS group (0.038). Mean first medicalcontact (FMC) to transfer time was 32 minutes for Non CS and 45 minutes in CSgroup (p =0.023). Successful PPCI was performed in 98% group as compare to87% in CS group, (p=0.015). In-hospital mortality was 7(23%) in CS group and6 (2%) in non CS group (p <0.001). One year mortality was 17 (7%) for non CSas compare to (27%) in CS group (p<0.05). Post procedure haemoglobin,number of inotropes needed at admission, baseline GFR, baseline PH werestrong predictors of mortality in cardiogenic shock patients.

Conclusion: Despite of similarities in most of risk factors, mortality rate of acutemyocardial infarction with Cardiogenic Shock was higher than non-cardiogenicshock.

Key Words: ST elevation MI, Cardiogenic Shock, Primary PercutaneousCoronary Intervention

Downloads

Download data is not yet available.

Downloads

How to Cite

1.
Zeb S, Omar AF, Ali RBM, Haroon AY, Gurupparan K, Piow NY. OUTCOMES IN PATIENTS WITH CARDIOGENIC SHOCK FOLLOWING PRIMARY PERCUTANEOUS CORONARY INTERVENTION. Pak Heart J [Internet]. 2018Nov.30 [cited 2024Dec.24];51(3). Available from: https://pakheartjournal.com/index.php/pk/article/view/1530

Issue

Vol. 51 No. 3 (2018): Pakistan Heart Journal

Section

Original Article

License

When an article is accepted for publication in the print format, the author will be required to transfer exclusive copyright to the PHJ and retain the rights to use and share their published article with others. However, re-submission of the full article or any part for publication by a third party would require prior permission of the PHJ.

Online publication will allow the author to retain the copyright and share the article under the agreement described in the licensing rights with creative commons, with appropriate attribution to PHJ. Creative Commons attribution license CC BY 4.0 is applied to articles published in PHJ https://creativecommons.org/licenses/by/4.0/