Determination of risk factors affecting the in-hospital prognosis of patients with acute ST segment elevation myocardial infarction after percutaneous coronary intervention
Abstract Background To determine the factors affecting the in-hospital prognosis of patients with acute ST segment elevation myocardial infarction (STEMI) after percutaneous coronary intervention (PCI), and to establish its prognostic discriminant model. Methods A total of 701 consecutive STEMI pati...
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| Format: | Article |
| Language: | English |
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BMC
2017-09-01
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| Series: | BMC Cardiovascular Disorders |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12872-017-0660-9 |
| _version_ | 1818929815642701824 |
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| author | Rui Wang Biqi Mei Xinlong Liao Xia Lu Lulu Yan Man Lin Yao Zhong Yili Chen Tianhui You |
| author_facet | Rui Wang Biqi Mei Xinlong Liao Xia Lu Lulu Yan Man Lin Yao Zhong Yili Chen Tianhui You |
| author_sort | Rui Wang |
| collection | DOAJ |
| description | Abstract Background To determine the factors affecting the in-hospital prognosis of patients with acute ST segment elevation myocardial infarction (STEMI) after percutaneous coronary intervention (PCI), and to establish its prognostic discriminant model. Methods A total of 701 consecutive STEMI patients undergoing PCI were enrolled in this study. The patients were divided into two groups, good prognosis and poor prognosis, based on whether the patient had adverse outcomes (death or heart function ≥ grade III) at discharge. Demographic and basic clinical characteristics, diagnosis at admission (e.g., ventricular function, complications, or hyperlipidemia), and biomedical indicators (e.g., blood count, basal metabolism and biochemical composition, blood lipid and glucose levels, myocardial biomarkers, and coagulation) were collected and analyzed. Results We determined 22 factors as risk factors for the in-hospital prognosis of STEMI patients after PCI: age, cardiac function during hospitalization, complications, history of diabetes mellitus, et al., among which the history of diabetes, uric acid, urea nitrogen, and activated partial thromboplastin time (APTT) were independent risk factors. Conclusion We identified four independent risk factors for the in-hospital prognosis of STEMI patients after PCI and generated a prognostic model to predict the adverse outcomes of these patients. |
| first_indexed | 2024-12-20T03:50:48Z |
| format | Article |
| id | doaj.art-b6727bd96c374bf6b31eef0926707432 |
| institution | Directory Open Access Journal |
| issn | 1471-2261 |
| language | English |
| last_indexed | 2024-12-20T03:50:48Z |
| publishDate | 2017-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cardiovascular Disorders |
| spelling | doaj.art-b6727bd96c374bf6b31eef09267074322022-12-21T19:54:29ZengBMCBMC Cardiovascular Disorders1471-22612017-09-0117111110.1186/s12872-017-0660-9Determination of risk factors affecting the in-hospital prognosis of patients with acute ST segment elevation myocardial infarction after percutaneous coronary interventionRui Wang0Biqi Mei1Xinlong Liao2Xia Lu3Lulu Yan4Man Lin5Yao Zhong6Yili Chen7Tianhui You8School of Nursing, Guangdong Pharmaceutical UniversitySchool of Nursing, Guangdong Pharmaceutical UniversitySchool of Public Health, Guangdong Pharmaceutical UniversitySchool of Public Health, Guangdong Pharmaceutical UniversitySchool of Nursing, Guangdong Pharmaceutical UniversitySchool of Nursing, Guangdong Pharmaceutical UniversitySchool of Nursing, Guangdong Pharmaceutical UniversityDepartment of Cardiology, The First Affiliated Hospital of Sun Yat-Sen UniversitySchool of Nursing, Guangdong Pharmaceutical UniversityAbstract Background To determine the factors affecting the in-hospital prognosis of patients with acute ST segment elevation myocardial infarction (STEMI) after percutaneous coronary intervention (PCI), and to establish its prognostic discriminant model. Methods A total of 701 consecutive STEMI patients undergoing PCI were enrolled in this study. The patients were divided into two groups, good prognosis and poor prognosis, based on whether the patient had adverse outcomes (death or heart function ≥ grade III) at discharge. Demographic and basic clinical characteristics, diagnosis at admission (e.g., ventricular function, complications, or hyperlipidemia), and biomedical indicators (e.g., blood count, basal metabolism and biochemical composition, blood lipid and glucose levels, myocardial biomarkers, and coagulation) were collected and analyzed. Results We determined 22 factors as risk factors for the in-hospital prognosis of STEMI patients after PCI: age, cardiac function during hospitalization, complications, history of diabetes mellitus, et al., among which the history of diabetes, uric acid, urea nitrogen, and activated partial thromboplastin time (APTT) were independent risk factors. Conclusion We identified four independent risk factors for the in-hospital prognosis of STEMI patients after PCI and generated a prognostic model to predict the adverse outcomes of these patients.http://link.springer.com/article/10.1186/s12872-017-0660-9Acute myocardial infarctionST segment elevationPercutaneous coronary interventionPrognosisRisk factors |
| spellingShingle | Rui Wang Biqi Mei Xinlong Liao Xia Lu Lulu Yan Man Lin Yao Zhong Yili Chen Tianhui You Determination of risk factors affecting the in-hospital prognosis of patients with acute ST segment elevation myocardial infarction after percutaneous coronary intervention BMC Cardiovascular Disorders Acute myocardial infarction ST segment elevation Percutaneous coronary intervention Prognosis Risk factors |
| title | Determination of risk factors affecting the in-hospital prognosis of patients with acute ST segment elevation myocardial infarction after percutaneous coronary intervention |
| title_full | Determination of risk factors affecting the in-hospital prognosis of patients with acute ST segment elevation myocardial infarction after percutaneous coronary intervention |
| title_fullStr | Determination of risk factors affecting the in-hospital prognosis of patients with acute ST segment elevation myocardial infarction after percutaneous coronary intervention |
| title_full_unstemmed | Determination of risk factors affecting the in-hospital prognosis of patients with acute ST segment elevation myocardial infarction after percutaneous coronary intervention |
| title_short | Determination of risk factors affecting the in-hospital prognosis of patients with acute ST segment elevation myocardial infarction after percutaneous coronary intervention |
| title_sort | determination of risk factors affecting the in hospital prognosis of patients with acute st segment elevation myocardial infarction after percutaneous coronary intervention |
| topic | Acute myocardial infarction ST segment elevation Percutaneous coronary intervention Prognosis Risk factors |
| url | http://link.springer.com/article/10.1186/s12872-017-0660-9 |
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