348 Uric acid is associated with acute heart failure and cardiogenic shock at presentation in acute coronary syndrome patients

Autor: Alessandro Maloberti, Paola Rebora, Marco Centola, Nuccia Morici, Alice Sacco, Sara Scarpellini, Giuseppe Occhino, Giovanna Viola, Jacopo Oreglia, Diego Castini, Stefano Carugo, Michela Algeri, Maria Grazia Valsecchi, Fabrizio Oliva, Cristina Giannattasio
Rok vydání: 2021
Předmět:
Zdroj: European Heart Journal Supplements. 23
ISSN: 1554-2815
1520-765X
Popis: Aims we focused on the role of Uric Acid (UA) as a possible determinant of Heart Failure (HF) related issues in Acute Coronary Syndromes (ACS) patients. Main outcome were acute HF and cardiogenic shock at admission, secondary outcomes were the need of Non Invasive Ventilation (NIV) use and the admission Left Ventricular Ejection Fraction (LVEF). Methods and results we consecutively enrolled 1269 ACS patients admitted to the cardiological Intensive Care Unit of the Niguarda and San Paolo hospitals (Milan, Italy) from June 2016 to June 2019. Hyperuricaemia was defined as a value higher than 6 mg/dl for females and 7 mg/dl for males. All the evaluated outcomes occurred more frequently in the hyperuricemic subjects (n = 292): acute HF 35.8 vs. 11.1% (P Conclusions The main result of our study was the finding of a significant association between UA and acute HF, cardiogenic shock, NIV use and LVEF. Due to the cross-sectional nature of our study no definite answer on the direction of these relationship can be drawn and further longitudinal study on UA changes over time during an ACS hospitalization are needed.
Databáze: OpenAIRE