Cause of in-hospital death among acute myocardial infarction patients undergoing primary percutaneous coronary intervention in Beijing
10.3760/cma.j.issn.0253-3758.2012.07.003
- VernacularTitle:北京地区急性心肌梗死直接经皮冠状动脉介入治疗患者住院死亡原因分析
- Author:
Lei SONG
1
;
Yue-Jin YANG
;
Shu-Zheng L(U)
;
Xin-Chun YANG
;
Hong-Wei LI
;
Jin-Cheng GUO
;
Wei GAO
;
Chao-Lian HUANG
;
Quan FANG
;
Ming-Ying WU
;
Heng-Jian HAO
Author Information
1. 中国医学科学院北京协和医学院北京市心血管介入质量控制和改进中心阜外心血管病医院
- Keywords:
Myocardial infarction;
Angioplasty,transluminal,percutaneous coronary;
Death
- From:
Chinese Journal of Cardiology
2012;40(7):554-559
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the cause of in-hospital death among acute myocardial infarction patients undergoing primary percutaneous coronary intervention ( PPCI ) in Beijing area to evoke better individualized preventive approach.Methods In-hospital mortality and causes were analyzed based on database from Beijing percutaneous coronary intervention registry study ( BJPCI Registry) in 2010.Results A total of 4660 PPCI patients from 48 hospitals were included.In-hospital mortality was 2.4％ ( n =110).Cardiogenic shock ( 39.1％,43/110 ),mechanical complications ( 28.2％,31/110 ) and interventionrelated complications [28.2％,31/110:procedure related ( n =28),drug related ( n =3 ) ] were the leading causes of in-hospital death. Five deaths was attributed to comorbidity related reason (4.5％,5/110).The in-hospital mortality had no significant difference among hospitals of different grade or total annual PCI (all P ＞ 0.05).In-hospital mortality was slightly higher in hospital with annual PPCI ＜ 300 than in hospitals with annual PPCI ≥ 300 ( 2.9％ vs.1.8％,P ＜ 0.05 ).Conclusion Cardiogenic shock,mechanical complications and intervention-related complications are the main causes of in-hospital death among acute myocardial infarction patients receiving PPCI.
