Factors influencing outcomes of patients with acute myocardial infarction receiving primary percutaneous coronary intervention / 中国介入心脏病学杂志

ABSTRACT

360 min,the risk of no-reflow phenomenon was decreased in patients with SOTB≤360 min(OR=0.2,95% CI0.0-1.0,P=0.045).(2) Obesity was identified as an independent risk factor for peak concentration of CK-MB(?=117.3,95% CI12.1-222.6,P=0.029).(3) Age(above 60 years old),obesity,and preprocedural Killip classification were identified as independent risk factors for postprocedural LVEF.Old age(?=-6,95% CI-9.7--2.2,P=0.002) and obesity(?=-3.8,95% CI-7.6--0.1,P=0.044)were associated with low LVEF but preprocedural cardiac function of Killip Class Ⅰ was associated with high LVEF(?=4.9,95% CI0.4～9.4,P=0.033).(4) Preprocedural Killip classification and multivessel disease were independent predictors for major adverse cardiac event in the follow-up period.The risk of major adverse cardiac event during follow-up decreased in patients with preprocedural Killip class I compared with patients with Killip class Ⅱ~Ⅳ(OR=0.1,95% CI0.0-0.7,P=0.022),but the risk increased in patients with multivessel disease compared with those who had single vessel disease(OR=10.5,95% CI1.1-99.4,P=0.041).Conclusion The clinical outcomes and prognosis of patients with AMI treated with primary PCI were associated with a variety of risk factors including age,obesity,multivessel disease,and preprocedural cardiac function.In addition,SOTB was related to postprocedural TIMI flow in patients with AMI undergoing primary PCI.