Predictive value of IABP SHOCK Ⅱ risk score on in-hospital mortality of patients with cardiogenic shock after ST segment elevation myocardial infarction
10.3760/cma.j.issn.1671-0282.2018.11.015
- VernacularTitle:IABP-SHOCKⅡ评分对伴发心源性休克的ST段抬高型心肌梗死患者住院死亡的预测价值
- Author:
Jianing CAO
1
;
Wenxian LIU
;
Liying CHEN
;
Jiajia ZHU
Author Information
1. 首都医科大学附属北京安贞医院 北京市心肺血管疾病研究所
- Keywords:
Intra-aortic balloon pump;
ST segment elevation myocardial infarction;
Cardiogenic shock;
Primary percutaneous intervention;
IABP SHOCK Ⅱ risk score;
In-hospital mortality
- From:
Chinese Journal of Emergency Medicine
2018;27(11):1260-1264
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the predictive value of IABP SHOCK Ⅱ risk score in in-hospital mortality of patients with ST segment elevation myocardial infarction complicated with cardiogenic shock (CS). Methods From August 2011 to August 2013, the clinical data of 89 patients with cardiogenic shock after STEMI treated with primary PCI and then supported by using IABP were retrospectively analyzed. The IABP SHOCK Ⅱ risk score were calculated from the data at admission and primary PCI. Comparisons of general information, medication and intervention, pre/post IABP vital life signs and in-hospital death were carried out among patients with different risk stratifications. Results The area under ROC curve of risk stratification was 0.723. The patients were categorized into low risk group (score 0-2, n=71) and intermediate-high risk group (score 3-9, n=18).The patients in intermediate-high risk group were with advanced age, high rate of diabetes mellitus, history of stroke, renal insufficiency, higher serum lactate and glucose at admission compared with low risk group. And more patients in intermediate-high risk group had impaired post-PCI coronary flow (TIMI flow grade<3). Conclusions The IABP SHOCK Ⅱ risk score is a simple and useful risk score for predicting in-hospital mortality of STEMIpatients complicated with CS. Though the patietns are treated with primary PCI and then supported by IABP, the in-hospital mortality of patients with IABP SHOCK Ⅱ risk score ≥ 3 increases significantly.
