title: Prognostic Analysis for Cardiogenic Shock in Patients with Acute Myocardial Infarction Receiving Percutaneous Coronary Intervention.
abstract: Cardiogenic shock (CS) is uncommon in patients suffering from acute myocardial infarction (AMI). Long-term outcome and adverse predictors for outcomes in AMI patients with CS receiving percutaneous coronary interventions (PCI) are unclear. A total of 482 AMI patients who received PCI were collected, including 53 CS and 429 non-CS. Predictors for AMI patients with CS including recurrent MI, cardiovascular (CV) mortality, all-cause mortality, and repeated-PCI were analyzed. The CS group had a lower central systolic pressure and central diastolic pressure (bothP< 0.001). AMI patients with hypertension history were less prone to develop CS (P< 0.001). Calcium channel blockers and statins were less frequently used by the CS group than the non-CS group (bothP< 0.05) after discharge. Synergy between Percutaneous Coronary Intervention with Taxus and Cardiac Surgery (SYNTAX) score, CV mortality, and all-cause mortality were higher in the CS group than the non-CS group (allP< 0.005). For patients with CS, stroke history was a predictor of recurrent MI (P= 0.036). CS, age, SYNTAX score, and diabetes were predictors of CV mortality (allP< 0.05). CS, age, SYNTAX score, and stroke history were predictors for all-cause mortality (allP< 0.05). CS, age, and current smoking were predictors for repeated-PCI (allP< 0.05).
authors.affiliation: The Division of Cardiology, Department of Medicine, Taichung Tzu Chi Hospital, The Buddhist Tzu Chi Medical Foundation, Taichung, Taiwan; Department of Medicine, School of Medicine, Tzu Chi University, Hualien, Taiwan.
authors.forename: Mao-Jen
authors.initials: MJ
authors.lastname: Lin
authors.affiliation: Division of Emergency Medicine, Department of Pediatrics, Changhua Christian Hospital, Changhua, Taiwan; School of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
authors.forename: Chun-Yu
authors.initials: CY
authors.lastname: Chen
authors.affiliation: The Division of Cardiology, Department of Medicine, Taichung Tzu Chi Hospital, The Buddhist Tzu Chi Medical Foundation, Taichung, Taiwan.
authors.forename: Hau-De
authors.initials: HD
authors.lastname: Lin
authors.affiliation: Division of Pediatric General Medicine, Department of Pediatrics, Chang Gung Memorial Hospital at Linko, Kweishan, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taoyuan, Taiwan.
authors.forename: Han-Ping
authors.identifier: 0000-0002-0069-4183
authors.initials: HP
authors.lastname: Wu
mesh_terms: D000792:Angiography; D003710:Demography; D006801:Humans; D016015:Logistic Models; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications* / Q000401:mortality / Q000601:surgery*; D010343:Patient Admission; D062645:Percutaneous Coronary Intervention; D011379:Prognosis; D016016:Proportional Hazards Models; D012770:Shock, Cardiogenic / Q000209:etiology*; D016896:Treatment Outcome