| Category |
Cardiac & Cardiovascular Systems |
| Manuscript Type |
Retrospective Study |
| Article Title |
Immediate in-hospital outcomes after percutaneous revascularization of acute myocardial infarction complicated by cardiogenic shock
|
| Manuscript Source |
Unsolicited Manuscript |
| All Author List |
Bashir Ahmed Solangi, Jehangir Ali Shah, Rajesh Kumar, Mahesh Kumar Batra, Gulzar Ali, Muhammad Hassan Butt, Ambreen Nisar, Nadeem Qamar, Tahir Saghir and Jawaid Akbar Sial |
| Funding Agency and Grant Number |
|
| Corresponding Author |
Bashir Ahmed Solangi, FCPS, Associate Professor, Department of Adult Cardiology, National Institute of Cardiovascular Diseases, Rafiqi H.J. Shaheed Road, Karachi 75510, Pakistan. bashir1981.ba@gmail.com |
| Key Words |
Predictors; Mortality; Primary percutaneous coronary intervention; Cardiogenic shock; Acute myocardial infarction |
| Core Tip |
Cardiogenic shock (CS) is a severe form of acute myocardial infarction (AMI) associated with low blood pressure, poor organ perfusion, and high mortality rates. Overall, primary percutaneous coronary intervention (PCI) plays a crucial role in the management of patients with CS by improving blood flow to the heart, restoring cardiac function, and reducing mortality rates. However, the success of primary PCI depends on several factors, including the timeliness of treatment, the skill and experience of the operators performing the procedure, and the patient's overall health status. Therefore, it is essential to identify high-risk patients and provide timely appropriate treatment to achieve the best outcomes. Therefore, we conducted a retrospective analysis of 305 patients with CS complicated AMI undergone primary PCI at our center. It has been observed the immediate mortality rate was unacceptably high at 54.8% with cardiac arrest followed by renal failure, multi-organ dysfunction, sepsis, hypoxic brain injury and cerebrovascular accident as a cause of mortality. Killip class IV at presentation, multivessel disease, and high thrombus burden (grade ≥ 4) were identified as independent predictors of immediate mortality in multivariable analysis. |
| Publish Date |
2023-09-21 08:05 |
| Citation |
Solangi BA, Shah JA, Kumar R, Batra MK, Ali G, Butt MH, Nisar A, Qamar N, Saghir T, Sial JA. Immediate in-hospital outcomes after percutaneous revascularization of acute myocardial infarction complicated by cardiogenic shock. World J Cardiol 2023; 15(9): 439-447 |
| URL |
https://www.wjgnet.com/1949-8462/full/v15/i9/439.htm |
| DOI |
https://dx.doi.org/10.4330/wjc.v15.i9.439 |
