Risk Factors for Major Adverse Cardiac Events Outcomes in Post Percutaneous Coronary Intervention during Index Admission
- Author:
Muaath Ahmed Hasan Mohammed
1
,
2
;
Zulkefli Sanip
3
;
Zurkurnai Yusof
1
;
W. Yus Haniff W. Isa
1
Author Information
1. Department of Medicine, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia&
2. Cardiology Unit, Modern European Hospital, 60th St, Sanaa, Yemen
3. Central Research Laboratory, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia
- Publication Type:Journal Article
- Keywords:
Acute coronary syndrome, Coronary artery disease, Percutaneous coronary intervention, ST elevation myocardial infarction
- From:Malaysian Journal of Medicine and Health Sciences
2023;19(No.4):130-138
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: Patients with ST-segment elevation myocardial infarction (STEMI) often undergo percutaneous coronary intervention (PCI) procedures during their index hospitalisation. However, some factors may increase the risk
of major adverse cardiac event (MACE) outcomes after delaying PCI. We aimed to determine the risk factors for
MACE outcomes in acute STEMI patients who had PCI during their index admission. Methods: In this retrospective single-center study, the medical records of STEMI patients who had PCI during their index hospitalisation in
our facility were retrieved. At 30 days and six months post-PCI, demographic characteristics, clinical presentation,
coronary risk factors, and the rate of MACE outcome were recorded and analysed. Results: This study included 91
STEMI patients. At 30 days and six months post-PCI, the rate of MACE was 10.5% and 8.0% respectively. At 30 days
post-PCI, gender (p = 0.025), systolic blood pressure (p = 0.005) and heart rate (p = 0.003) were all associated with
MACE outcomes. At six months, systolic blood pressure (p = 0.017), heart rate (p = 0.003), and previous coronary
artery disease (CAD) (p = 0.014) were all associated with MACE. Conclusion: In acute STEMI patients, female gender,
systolic blood pressure, heart rate, and a history of CAD are the risk factors for MACE outcomes after the PCI during
the index admission. However, this is only single center study with short follow up period. Therefore, multi centers
study and longer follow up period could provide better understanding on the factors associated with delayed PCI.
- Full text:11.2023my1571.pdf
