Reasons for perioperative death in treatment of acute myocardial infarction by emergent percutaneous coronary intervention
10.3760/cma.j.issn.0254-9026.2011.09.006
- VernacularTitle:急诊经皮冠状动脉介入治疗急性心肌梗死围术期死亡因素分析
- Author:
Yanjun CAO
;
Hongyu ZHANG
;
Zhiguo WU
;
Liqiang WANG
;
Baohua QIU
- Publication Type:Journal Article
- Keywords:
Coronary artery disease;
Angioplasty,transluminal,percutaneous coronary;
Intraoperative period
- From:
Chinese Journal of Geriatrics
2011;30(9):726-728
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo analyze the dead reasons in treatment of acute myocardial infarction (AMI) by emergent percutaneous coronary intervention (EPCI) during perioperation. Methods The clinical characteristics of the dead patients,results of EPCI and reasons of death were retrospectively analyzed in 473 patients with AMI who received EPCI treatment during March 2004 to March 2011. ResultsAmong the 18 cases(3.8％)dead patients,there were 8 case with three-vessel lesions,5 cases with two-vessel lesions, 2 cases with single vessel lesion and 3 cases with left main lesion. Nine patients were accompanied with hypertensions,5 cases with diabetes mellitus, 1 case with old myocardial infarction, 2 cases with old cerebral infarction, 1 case with chronic obstructive pulmonary disease complicated by severe pneumonia, and 1 case with chronic renal insufficiency. Nine patients died of cardiogenic shocks , 4 cases (22. 2％) of heart ruptures, 2 cases (11.1％) of noreflow,1 case (5.6％) of massive hemorrhage of the upper alimentary tract, 1 case (5.6％) of respiratory failure and 1 cases (5.6％) of refractory ventricular fibrillation.ConclusionsPrimary reasons for perioperative death were cardiac shock and heart rupture in treatment of acute myocardial infarction by EPCI. Multi-vessel lesion, complications with hypertensions and diabetes mellitus may serve as succumbed factors of death.
