Prognostic Value of Elevated Pulmonary Artery Systolic Pressure on Short Term in Patients With Acute Myocardial Infarction

Reply to the Letter to the Editor Entitled “Prognostic Value of Elevated Pulmonary Artery Systolic Pressure on Short Term in Patients With Acute Myocardial Infarction”

“…We appreciate the comments of Pamukcu and Acikel 1 about our paper entitled “Effect of Elevated Pulmonary Artery Systolic Pressure on Short-Term Prognosis in Patients with Acute Myocardial Infarction.” 2 We would like to state that this was a retrospective study, which mainly reflected the independent effect of pulmonary artery systolic pressure (PASP) on short-term death, without further subgroup analysis, such as the analysis of association between PASP and acute myocardial infarction (AMI) site, revascularization time, or diuretics.…”

“…Pamukcu and Acikel 1 in their letter to the Editor comment on the “lower PCI rate in the high PASP group.” We agree that the mortality is expected to be lower after successful revascularization. 6 There were 69.5% of patients with Killip classification Ⅱ to Ⅳ in the high PASP group, and it was very difficult to implement percutaneous coronary intervention successfully in these critically ill patients.…”