Predictors of 30-Day Mortality of Cardiogenic Shock Complicating ST-Elevation Myocardial Infarction at Trang Hospital
Keywords:
Mortality, cardiogenic shock, ST-elevation myocardial infarctionAbstract
Background: ST-elevation myocardial infarction is a major health problem in all countries. The presence of cardiogenic shock increases mortality in this patient population.
Objective: To study the mortality rate and predictors of 30-day mortality of patients with acute ST segment elevation myocardial infarction with cardiogenic shock at Trang Hospital.
Materials and Methods: This is a retrospective study of patients with acute ST segment elevation myocardial infarction with cardiogenic shock who were admitted to Trang Hospital from January 2021 to December 2023.
Results: A total of 83 patients were included in this study. The results showed that 30-day mortality rate was 37.4% (31 patients). Factors that significantly affected the mortality rate were eGFR (AOR = 0.94, 95% CI = 0.90-0.97, P = <0.001), Ventricular arrhythmia (VT/VF) (AOR = 4.69, 95% CI = 1.26-17.51, P = 0.021), and the number of inotropic drugs. (AOR = 2.88, 95% CI = 1.13-7.38, P = 0.027)
Conclusions: Patients with acute ST-segment elevation myocardial infarction with cardiogenic shock admitted to Trang Hospital had a mortality rate of 37.4%. eGFR, Ventricular arrhythmia (VT/VF) and the number of inotropic drugs were associated with increased mortality.
References
แนวเวชปฏิบัติการดูแลรักษาผู้ป่วยภาวะหัวใจขาดเลือดเฉียบพลัน พ.ศ.2563 สมาคมแพทย์โรคหัวใจแห่งประเทศไทย ในพระบรมราชูปถัมภ์: ISBN : 978-616-8023-12-9
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