Clinical outcomes and characteristics of acute myocardial infarction patients with developing fever after percutaneous coronary intervention
The incidence of fever complicating percutaneous coronary intervention (PCI) is rare. However, little is known regarding the cause of fever after PCI. Therefore, this study aimed to determine the clinical characteristics of patients with acute myocardial infarction (AMI), with or without fever, afte...
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| Format: | Article |
| Language: | English |
| Published: |
Institute for Medical Science, Jeju National University
2022-08-01
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| Series: | Journal of Medicine and Life Science |
| Subjects: | |
| Online Access: | http://www.e-jmls.org/upload/pdf/jmls-2022-19-2-46.pdf |
| _version_ | 1797731040611008512 |
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| author | Jae-Geun Lee Yeekyoung Ko Joon Hyouk Choi Jeong Rae Yoo Misun Kim Ki Yung Boo Jong Wook Beom Song-Yi Kim Seung-Jae Joo |
| author_facet | Jae-Geun Lee Yeekyoung Ko Joon Hyouk Choi Jeong Rae Yoo Misun Kim Ki Yung Boo Jong Wook Beom Song-Yi Kim Seung-Jae Joo |
| author_sort | Jae-Geun Lee |
| collection | DOAJ |
| description | The incidence of fever complicating percutaneous coronary intervention (PCI) is rare. However, little is known regarding the cause of fever after PCI. Therefore, this study aimed to determine the clinical characteristics of patients with acute myocardial infarction (AMI), with or without fever, after PCI. We enrolled a total of 926 AMI patients who underwent PCI. Body temperature (BT) was measured every 4 hours or 8 hours for 5 days after PCI. Patients were divided into two groups according to BT as follows: BT<37.7°C (no-fever group) and BT ≥37.7°C (fever group). The 2 years clinical outcomes were compared subsequently. Fever after PCI was associated with higher incidence of major adverse cardiac events (MACE) (hazard ratio [HR], 1.56; 95% confidence interval [CI], 1.07-2.28; P=0.021), all-cause death (HR, 2.32; 95% CI, 1.18-4.45; P=0.014), cardiac death (CD) (HR, 2.57; 95% CI, 1.02-6.76; P=0.049), and any revascularization (HR, 1.69; 95% CI, 1.02-2.81; P=0.044) than without fever. In women, prior chronic kidney disease, lower left ventricular (LV) ejection fraction, higher LV wall motion score index, white blood cell count, peak creatine kinase-myocardial band level, and longer PCI duration were associated with fever after PCI. Procedures such as an intra-aortic balloon pump, extracorporeal membrane oxygenation, continuous renal replacement therapy, central and arterial line insertion, and cardiopulmonary resuscitation were related to fever after PCI. Fever after PCI in patients with AMI was associated with a higher incidence of MACE, all-cause death, CD, and any revascularization at the 2 years mark than in those without fever. |
| first_indexed | 2024-03-12T11:52:37Z |
| format | Article |
| id | doaj.art-b5a49f3be5f746d49ea6100c315001ec |
| institution | Directory Open Access Journal |
| issn | 2671-4922 |
| language | English |
| last_indexed | 2024-03-12T11:52:37Z |
| publishDate | 2022-08-01 |
| publisher | Institute for Medical Science, Jeju National University |
| record_format | Article |
| series | Journal of Medicine and Life Science |
| spelling | doaj.art-b5a49f3be5f746d49ea6100c315001ec2023-08-31T05:23:37ZengInstitute for Medical Science, Jeju National UniversityJournal of Medicine and Life Science2671-49222022-08-01192465610.22730/jmls.2022.19.2.46490Clinical outcomes and characteristics of acute myocardial infarction patients with developing fever after percutaneous coronary interventionJae-Geun Lee0Yeekyoung Ko1Joon Hyouk Choi2Jeong Rae Yoo3Misun Kim4Ki Yung Boo5Jong Wook Beom6Song-Yi Kim7Seung-Jae Joo8 Department of Internal Medicine, Jeju National University College of Medicine, Jeju, Republic of Korea Department of Cardiology, Cheju Halla General Hospital, Jeju, Republic of Korea Department of Internal Medicine, Jeju National University College of Medicine, Jeju, Republic of Korea Department of Internal Medicine, Jeju National University College of Medicine, Jeju, Republic of Korea Department of Internal Medicine, Jeju National University Hospital, Jeju, Republic of Korea Department of Internal Medicine, Jeju National University Hospital, Jeju, Republic of Korea Department of Internal Medicine, Jeju National University Hospital, Jeju, Republic of Korea Department of Internal Medicine, Jeju National University College of Medicine, Jeju, Republic of Korea Department of Internal Medicine, Jeju National University College of Medicine, Jeju, Republic of KoreaThe incidence of fever complicating percutaneous coronary intervention (PCI) is rare. However, little is known regarding the cause of fever after PCI. Therefore, this study aimed to determine the clinical characteristics of patients with acute myocardial infarction (AMI), with or without fever, after PCI. We enrolled a total of 926 AMI patients who underwent PCI. Body temperature (BT) was measured every 4 hours or 8 hours for 5 days after PCI. Patients were divided into two groups according to BT as follows: BT<37.7°C (no-fever group) and BT ≥37.7°C (fever group). The 2 years clinical outcomes were compared subsequently. Fever after PCI was associated with higher incidence of major adverse cardiac events (MACE) (hazard ratio [HR], 1.56; 95% confidence interval [CI], 1.07-2.28; P=0.021), all-cause death (HR, 2.32; 95% CI, 1.18-4.45; P=0.014), cardiac death (CD) (HR, 2.57; 95% CI, 1.02-6.76; P=0.049), and any revascularization (HR, 1.69; 95% CI, 1.02-2.81; P=0.044) than without fever. In women, prior chronic kidney disease, lower left ventricular (LV) ejection fraction, higher LV wall motion score index, white blood cell count, peak creatine kinase-myocardial band level, and longer PCI duration were associated with fever after PCI. Procedures such as an intra-aortic balloon pump, extracorporeal membrane oxygenation, continuous renal replacement therapy, central and arterial line insertion, and cardiopulmonary resuscitation were related to fever after PCI. Fever after PCI in patients with AMI was associated with a higher incidence of MACE, all-cause death, CD, and any revascularization at the 2 years mark than in those without fever.http://www.e-jmls.org/upload/pdf/jmls-2022-19-2-46.pdffeverpercutaneous coronary interventionmyocardial infarction |
| spellingShingle | Jae-Geun Lee Yeekyoung Ko Joon Hyouk Choi Jeong Rae Yoo Misun Kim Ki Yung Boo Jong Wook Beom Song-Yi Kim Seung-Jae Joo Clinical outcomes and characteristics of acute myocardial infarction patients with developing fever after percutaneous coronary intervention Journal of Medicine and Life Science fever percutaneous coronary intervention myocardial infarction |
| title | Clinical outcomes and characteristics of acute myocardial infarction patients with developing fever after percutaneous coronary intervention |
| title_full | Clinical outcomes and characteristics of acute myocardial infarction patients with developing fever after percutaneous coronary intervention |
| title_fullStr | Clinical outcomes and characteristics of acute myocardial infarction patients with developing fever after percutaneous coronary intervention |
| title_full_unstemmed | Clinical outcomes and characteristics of acute myocardial infarction patients with developing fever after percutaneous coronary intervention |
| title_short | Clinical outcomes and characteristics of acute myocardial infarction patients with developing fever after percutaneous coronary intervention |
| title_sort | clinical outcomes and characteristics of acute myocardial infarction patients with developing fever after percutaneous coronary intervention |
| topic | fever percutaneous coronary intervention myocardial infarction |
| url | http://www.e-jmls.org/upload/pdf/jmls-2022-19-2-46.pdf |
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