The importance of intra-aortic pulse pressure after anterior ST-segment elevation myocardial infarction
Rev. bras. cir. cardiovasc
;
33(6): 579-587, Nov.-Dec. 2018. tab, graf
Article
Dans Anglais
| LILACS
| ID: biblio-977466
ABSTRACT
Abstract Objective:
To evaluate the association of pulse pressure (PP) with mortality and major adverse cardiac events (MACE) in one-year period after anterior ST-elevation myocardial infarction (A-STEMI).Methods:
A total of 261 consecutive patients whose blood pressure was measured with the aid of a catheter before primary percutaneous coronary intervention (PPCI) between August 2016 and February 2017 were included in the study. The patients were divided into three groups according to pulse pressure (PP) (Group 1, PP<35 mmHg; Group 2, 35≤PP≤50 mmHg; Group 3, PP>50 mmHg).Results:
The mean age of the patients was 63.4±14.1 years, and 206 of them were male. The groups were similar in terms of age and diastolic blood pressure (DBP). The ratio of female patients in Group 1 was higher, and their systolic blood pressure (SBP) was lower than those from the other groups (P=0.005 vs. P=0.042). The rates of MACE and mortality were higher in Group 1. The predictive PP values were calculated to be 42.5 mmHg for development of MACE and 41.5 mmHg for mortality. One-year survival ratio was worse in Group 1 than in the others according to Kaplan-Meier analysis (P<0.001).Conclusion:
The values of PP which was measured intra-aortically in patients with A-STEMI were associated with mortality and MACE in the one-year follow-up period.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Pouls
/
Débit systolique
/
Pression sanguine
/
Intervention coronarienne percutanée
/
Infarctus du myocarde avec sus-décalage du segment ST
Type d'étude:
Etude d'étiologie
/
Étude pronostique
/
Facteurs de risque
Limites du sujet:
Adulte très âgé
/
Femelle
/
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Rev. bras. cir. cardiovasc
Thème du journal:
Cardiologie
/
Chirurgie générale
Année:
2018
Type:
Article
Pays d'affiliation:
Chypre
/
Turquie
Institution/Pays d'affiliation:
Dokuz Eylül University Faculty of Medicine/TR
/
Kas State Hospital/TR
/
Near East University Faculty of Medicine/CY
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