Incidence and predictors of sudden cardiac arrest in the immediate post-percutaneous coronary intervention period for ST-elevation myocardial infarction: a single-center study.

Autor:	Abe T; Department of Medicine, Morehouse School of Medicine, Atlanta, Georgia., Olanipekun T; Department of Medicine, Morehouse School of Medicine, Atlanta, Georgia., Igwe J; Department of Medicine, Internal Medicine Residency Program, Morehouse School of Medicine, Atlanta, Georgia., Ndausung U; Department of Medicine, Internal Medicine Residency Program, Jersey Shore University Medical Center, Neptune, New Jersey., Amah C; Department of Medicine, Morehouse School of Medicine, Atlanta, Georgia., Chang A; Department of Medicine, Morehouse School of Medicine, Atlanta, Georgia., Effoe V; Department of Cardiovascular Disease, Morehouse School of Medicine, Atlanta, Georgia., Egbuche O; Department of Cardiovascular Disease, Morehouse School of Medicine, Atlanta, Georgia., Ogunbayo G; Department of Internal Medicine, Division of Cardiology, University of Kentucky, Lexington, Kentucky, USA., Onwuanyi A; Department of Cardiovascular Disease, Morehouse School of Medicine, Atlanta, Georgia.
Jazyk:	angličtina
Zdroj:	Coronary artery disease [Coron Artery Dis] 2022 Jun 01; Vol. 33 (4), pp. 261-268. Date of Electronic Publication: 2022 Jan 31.
DOI:	10.1097/MCA.0000000000001119
Abstrakt:	Background: Data on the incidence, predictors, and outcomes of sudden cardiac arrest (SCA) in the immediate post-percutaneous coronary intervention (PCI) period for ST-elevation myocardial infarction (STEMI) are limited. Objectives: The study aimed to investigate the trends and predictors of SCA occurring within 48 h post PCI for STEMI. Methods: We systematically reviewed data from the electronic medical records of 403 patients who underwent PCI for STEMI between January 2014 and December 2019. Trends in the incidence of SCA 48 h post PCI for STEMI were assessed using the Cochrane-Armitage test. Multivariable logistic regression was used to determine the predictors of SCA within 48 h post PCI for STEMI. Results: Of the 403 patients who underwent PCI for STEMI, 44 (11%) had SCA within 48 h post PCI. The incidence of SCA within 48 h post PCI decreased from 22% in 2014 to 8% in 2019; P = 0.03. After adjusting for underlying confounding variables in the multivariable logistic regression models, out of hospital cardiac arrest [adjusted odds ratio (aOR), 23.9; confidence interval (CI), 10.2-56.1], left main coronary artery disease (aOR, 3.1; CI, 1.1-9.4), left main PCI (aOR, 6.6; CI: 1.4-31.7), new-onset heart failure (aOR, 2.0; CI, 4.3-9.4), and cardiogenic shock (aOR, 5.8; CI, 1.7-20.2) were statistically significant predictors of SCA within 48 h post PCI for STEMI. Conclusion: We identified essential factors associated with SCA within 48 h post PCI for STEMI. Future studies are needed to devise effective strategies to decrease the risk of SCA in the early post-PCI period. (Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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