Abstract 10444: New Predictors and Long-Term Outcomes in ST-Elevation Myocardial Infarction with Cardiac Rupture After Primary Percutaneous Coronary Intervention
| Autor: | Hirofumi Kawamata, Kenji Yanishi, Keisuke Shoji, Yusuke Hori, Ayumu Fujioka, Satoshi Teramukai, Takeshi Nakamura, Satoaki Matoba |
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| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Circulation. 144 |
| ISSN: | 1524-4539 0009-7322 |
| DOI: | 10.1161/circ.144.suppl_1.10444 |
| Popis: | Introduction: Cardiac rupture (CR) is a serious complication of acute myocardial infarction. Primary percutaneous coronary intervention (pPCI) reduces the incidence of CR. However, the risk factors and long-term outcomes in patients with CR after pPCI remain unclear. Aims: To investigate the clinical predictors and outcomes of CR after pPCI. Methods: This was a retrospective, case-control, multi-center study. A total of 2,444 consecutive patients with ST-elevation myocardial infarction (STEMI) undergoing pPCI from 2009 to 2015 were included; 33 patients had CR (1.4%): 19 were assigned as early-CR (≤72 h) and 14 as late-CR (>72 h). The 132 controls (non-CR) were randomly selected by matching the 2,411 STEMI patients without CR at a 1:4 ratio. Results: Figure.1 showed that female, acute hyperglycemia, thrombocytopenia (platelet4 /μL), and incomplete revascularization (post-PCI thrombolysis in myocardial infarction [TIMI] Conclusions: Acute hyperglycaemia and thrombocytopenia are new predict factors for early- and late-CR, respectively. The clinical risk factors of early- and late-CR in pPCI era may differ. Emergency surgical repair affects with in-hospital mortality, and surviving CR patients have a similar post-discharge survival rate compared with surviving non-CR patients. |
| Databáze: | OpenAIRE |
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