Predictors of In-Hospital Mortality in Patients With ST-Segment Elevation Myocardial Infarction Complicated With Cardiogenic Shock

dc.contributor.authorHayıroğlu, Mert İlker
dc.contributor.authorKeskin, Muhammed
dc.contributor.authorUzun, Ahmet Okan
dc.contributor.authorYıldırım, Duygu İlke
dc.contributor.authorKaya, Adnan
dc.contributor.authorÇinier, Göksel
dc.contributor.authorPehlivanoğlu, Seçkin
dc.date.accessioned2020-04-30T23:21:23Z
dc.date.available2020-04-30T23:21:23Z
dc.date.issued2019
dc.departmentDÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.descriptionCinier, Goksel/0000-0001-5064-1816; Keskin, Muhammed/0000-0002-4938-0097; Yildirimturk, Ozlem/0000-0001-9841-4524en_US
dc.descriptionWOS: 000455660200016en_US
dc.descriptionPubMed: 29191504en_US
dc.description.abstractBackground ST-segment elevation myocardial infarction (STEMI) complicated with cardiogenic shock (CS) remains as an unresolved condition causing high morbidity and mortality despite advances in medical treatment and coronary intervention procedures. In the current study, we evaluated the predictors of in-hospital mortality of STEMI complicated with CS. Methods In this retrospective study, we evaluated the predictive value of baseline characteristics, angiographic, echocardiographic and laboratory parameters on in-hospital mortality of 319 patients with STEMI complicated with CS who were treated with primary percutaneous coronary intervention. Patients were divided into two groups consisting of survivors and non-survivors during their index hospitalisation period. Results The mortality rate was found to be 61.3% in the study population. At multivariate analysis after adjustment for the parameters detected in univariate analysis, chronic renal failure, Thrombolysis In Myocardial Infarction (TIMI) post percutaneous coronary intervention (PCI) <= 2, plasma glucose and lactate level, blood urea nitrogen level, Tricuspid Annular Plane Systolic Excursion (TAPSE) and ejection fraction were independent predictors of in-hospital mortality. Conclusions Apart from haemodynamic deterioration, angiographic, echocardiographic and laboratory parameters have an impact on in-hospital mortality in patients with STEMI complicated with CS.en_US
dc.identifier.doi10.1016/j.hlc.2017.10.023en_US
dc.identifier.endpage244en_US
dc.identifier.issn1443-9506
dc.identifier.issn1444-2892
dc.identifier.issue2en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage237en_US
dc.identifier.urihttps://doi.org/10.1016/j.hlc.2017.10.023
dc.identifier.urihttps://hdl.handle.net/20.500.12684/4185
dc.identifier.volume28en_US
dc.identifier.wosWOS:000455660200016en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofHeart Lung And Circulationen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectMyocardial infarctionen_US
dc.subjectPercutaneous coronary interventionen_US
dc.subjectIn-hospital mortalityen_US
dc.subjectCardiogenic shocken_US
dc.titlePredictors of In-Hospital Mortality in Patients With ST-Segment Elevation Myocardial Infarction Complicated With Cardiogenic Shocken_US
dc.typeArticleen_US

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