The year in cardiology 2016: Acute coronary syndromes

Crea, Filippo; Binder, Ronald K.; Lüscher, Thomas F.

doi:10.5937/siks1701011c

Cited by 1 publication

(2 citation statements)

References 44 publications

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“…According to In-hospital follow up, MI was seen in 2 cases, heart failure was seen in 13 cases, stroke was seen in one case and CV death was seen in 5 cases died in hospital. [2] Smoking 31 (43.06) 5 (17.86) <0.05 [2] >0.05 [2] >0.05 [2] HTN 39 (54.17) <0.05 [2] There was significant increase in TLC in MACE group than non-MACE group (p<0.05), and high significant decrease in CrCl in MACE group & mortality in comparison to patient in the other group (p<0.001). .05 [1] Most of patients were a normal sinus rhythm in the two groups, while the MACE group had 4 patients with complete heart block that considered statistically significant difference between the two groups (P<0.05) and the Ejection fraction (EF) was much lower in MACE group and statistically we had a highly significant difference regarding EF among the two groups (P<0.001).…”

Section: Resultsmentioning

confidence: 97%

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Correlation between RISK-PCI Score and Shock Index with in-Hospital and Long-Term Major Adverse Cardiovascular Events and Mortality after Primary Percutaneous Coronary Intervention in Patients of Acute Myocardial Infarction

G.Ghazal

A.Mahmoud

A.Kazamel

et al. 2022

Benha Journal of Applied Sciences

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Background: ST-segment elevation myocardial infarction (STEMI) remains a significant cause of death globally despite modern evidence-based medical therapies and widespread use of percutaneous coronary intervention (PCI).After percutaneous coronary intervention, the in-hospital mortality rate for STEMI is 3-4% and may approach 10% annually. In addition, individuals with STEMI had a higher risk of haemorrhage and acute renal damage, both of which were linked to worse outcomes. This research aimed to assess the predictive performance of the RISK-PCI score and the shock index (SI) in predicting major adverse cardiovascular events (MACE) and death after Primary Percutaneous Coronary Intervention. One hundred patients were studied using a variety of methods at the cardiology departments at the National Heart Institute and Benha University Hospital. History and clinical data, electrocardiogram, laboratory testing, coronary angiogram, and primary percutaneous coronary intervention were all performed on every patient. The results indicated that there was a statistically significant rise in the RISK-PCI score between patients who had MACE and those who did not (in the hospital and over the long term). There was no statistically significant difference between the two groups in terms of RISK-PCI score, despite the fact that the mean score was greater for patients who had MACE and mortality during in-hospital follow-up compared to those in the Long term group. Risk-PCI was significantly correlated with major adverse cardiac events (MACE), including death both during and after hospitalisation. Sensitivity and specificity of risk PCI score in identifying MACE incidence, long term mortality, and in hospital mortality were 95.8% and 85.7%, respectively; sensitivity and specificity of Shock Index was 85.7 and 20.7 was achieved for long term mortality and in hospital mortality. As a result, it can be concluded that the Risk PCI score and the Shock Index both have very significant predictive values for the incidence of MACE, as well as for longterm mortality and in-hospital mortality. The predictive values of major adverse cardiac events (MACEs), long-term mortality, and in-hospital mortality are all improved significantly when the Risk PCI score is embedded with the Shock Index. Whether a unique risk assessment approach may further enhance patients' prognoses after initial PCI is an issue that requires further research.

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Section: Resultsmentioning

confidence: 97%

“…Chronic heart disease is a leading cause of mortality and disability in industrialised nations. [1] Plaque fissure, plaque erosion, functional modifications of epicedial coronary arteries, and vasoconstriction of the microcirculation are all potential causes of acute coronary syndrome [2].…”

Section: Introductionmentioning

confidence: 99%