|
Abstract Objective To explore the risk factors associated with in- hospital mortality in patients with acute myocardial infarction(AMI) complicated by cardiogenic shock(CS). Methods The data of 89 in- patients with AMI complicated by CS were analyzed retrospectively. Univariate and multivariate logistic regression analysis were performed to identify the association of baseline features and treatment strategies with in- hospital mortality. Results The overal in- hospital mortality of AMI complicated by CS was 51.7%.Mean age was significantly higher and the ratio of primary percutaneous revascularization (PPR) was significantly lower in dead patients (74.1±10.1 years, 21.7%) than survivors (66.8±11.4 years, 60.5%). Multivariate logistic regression analysis showed that age (OR=2.109, 95%CI:1.29~3.44), sustained ventricular tachycardia/ventricular fibril ation(OR=4.831, 95%CI:1.05~22.26) and PPR(OR=0.171, 95%CI:0.06~0.48) were significantly correlated with in- hospital mortality. Conclusion Age and sustained ventricular tachycardia/ventricular fibril ation are risk factors associated with increased in- hospital mortality of AMI complicated by CS. PPR may reduce the risk of death.
|
|
|
|
|
|
