Causes of death in patients with ST-segment elevation myocardial infarction following primary percutaneous coronary intervention
10.3760/cma.j.issn.1671-7368.2018.11.011
- VernacularTitle:急性心肌梗死患者直接经皮冠状动脉介入治疗术后死亡特征的随访研究
- Author:
Jianfu WANG
1
;
Qinping LI
;
Yanjin WEI
Author Information
1. 276003,临沂市人民医院心内科
- Keywords:
Myocardial infarction;
Percutaneous coronary intervention;
Death
- From:
Chinese Journal of General Practitioners
2018;17(11):910-913
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the causes of death in patients with ST-segment elevation myocardial infarction (STEMI) following primary percutaneous coronary intervention (PCI).Methods The clinical data of 1 213 patients [845 males and 368 females,mean age:(60.83±12.31) years] with STEMI who underwent direct PCI in Linyi People's Hospital from January 2010 to May 2014 and followed-up for 3-7 years were retrospectively analyzed.The causes of death and predictors were analyzed.Results Among 1 135 patients,129 died during the follow-up.Thirty nine patients died in the first 2 weeks and 97.4％ (38/39)due to cardiovascular causes;29 died between 2 weeks and 1 year and 62.1％ (18/29)due to cardiovascular causes;61 died after 1 year and 40.9％ (25/61)from cardiovascular causes,19.7％ (12/61) from cancer,14.8％ (9/61)from stroke.Multivariate Cox regression analysis showed that age ≥70 years,increase of serum creatinine,LVEF≤40％,symptom-to-balloon time＞360 min,cardiac shock,triple vessel lesion,TIMI blood flow less than grade 3 were independent predictors of all death.Conclusion Cardiovascular conditions are the main cause of death in the first year and non-cardiovascular conditions are the main cause of death 1 year after primary PCI in patients with STEMI.It is suggested that long-term surviving patients should also pay close attention to non-cardiac risk factors.
