以急性冠脉综合征为表现的多支冠状动脉疾病患者不完全经皮血管重建术后的住院死亡率

IF 0.2 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
M. Iqbal, Shams Rehan, M. N. Khan, N. Soomro, Shakir Zada, Salman Abbas
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引用次数: 0

摘要

目的:明显的多支冠状动脉疾病(CAD)患者约占急性冠状动脉综合征(ACS)患者的一半至三分之二。因此,本研究旨在评估巴基斯坦卡拉奇一家三级医院多血管CAD合并ACS患者不完全经皮血运重建术的住院死亡率。方法:本描述性研究纳入282例患者,于2021年3月22日至2021年9月21日连续纳入,年龄在18 - 75岁之间,不分性别,诊断为ACS,多血管疾病,仅行经皮罪魁动脉血供重建术。排除就诊时已有慢性肾脏疾病或心源性休克的患者。所有患者在住院期间都接受了长达一周的观察,并记录了住院死亡率。结果:平均年龄55.7±10.8岁,男性185例(65.6%)。ACS类型中,st段抬高型心肌梗死(STEMI) 109例(38.7%),非STEMI 117例(41.5%),不稳定型心绞痛56例(19.9%)。三支血管病变126例(44.7%),糖尿病108例(38.3%),高血压164例(58.2%),吸烟者128例(45.4%)。22例(7.8%)患者住院死亡。结论:ACS合并多支冠心病患者不完全经皮血运重建术后住院死亡率显著增高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
IN-HOSPITAL MORTALITY AFTER INCOMPLETE PERCUTANEOUS REVASCULARIZATION IN PATIENTS WITH MULTIVESSEL CORONARY ARTERY DISEASE PRESENTING WITH ACUTE CORONARY SYNDROME
Objectives: Patients with significant multi-vessel coronary artery disease (CAD) are approximately one-half to two-thirds of patients presenting with acute coronary syndrome (ACS). Therefore, this study aimed to evaluate the in-hospital mortality of incomplete percutaneous revascularization in a patient with multi-vessel CAD presenting with ACS at a single tertiary care hospital in Karachi, Pakistan. Methodology: This descriptive study with 282 included consecutive patients from March 22, 2021, to September 21, 2021, fulfilling the inclusion criteria of aged between 18 and 75 years and of any gender, diagnosed with ACS, multi-vessel diseases, and undergone percutaneous revascularization of culprit artery only. Patients with pre-existing chronic kidney disease or cardiogenic shock at presentation were excluded. All patients were kept under observation during the hospital stay for up to one week, and in-hospital mortality was recorded. Results: Mean age was 55.7±10.8 years with 185 (65.6%) male patients. Types of ACS were noted as ST-elevation myocardial infarction (STEMI) in 109 (38.7%), 117 (41.5%) non-STEMI, while unstable angina was noted in 56 (19.9%) patients. Three-vessel disease was noted in 126 (44.7%), 108 (38.3%) were diabetics, 164 (58.2%) were hypertensive, and 128 (45.4%) were smokers. In-hospital mortality was documented in 22 (7.8%) patients. Conclusion: A significant proportion of in-hospital mortality was observed after incomplete percutaneous revascularization in ACS patients with multi-vessel CAD.
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来源期刊
Pakistan Heart Journal
Pakistan Heart Journal CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
0.20
自引率
0.00%
发文量
64
审稿时长
6 weeks
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