Login
Search
Search
0 Dates
2024
2023
2022
2021
2020
2019
2018
0 Events
CPC 2018
CPC 2019
Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
CPC 2020
CPC 2021
CPC 2022
CPC 2023
CPC 2024
0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
G. Aortic Disease, Peripheral Vascular Disease, Stroke
H. Interventional Cardiology and Cardiovascular Surgery
I. Hypertension
J. Preventive Cardiology
K. Cardiovascular Disease In Special Populations
L. Cardiovascular Pharmacology
M. Cardiovascular Nursing
N. E-Cardiology / Digital Health, Public Health, Health Economics, Research Methodology
O. Basic Science
P. Other
0 Themes
01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
37. Miscellanea
0 Resources
Abstract
Slides
Vídeo
Report
CLEAR FILTERS
Survival analysis in a population of patients with cardiogenic shock after acute myocardial infarction: Characterization of the population and identification of mortality predictors.
Session:
Posters 1 - Écran 1 - Doença Coronária
Speaker:
João Pais
Congress:
CPC 2019
Topic:
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
Theme:
14. Acute Cardiac Care
Subtheme:
14.4 Acute Cardiac Care – Cardiogenic Shock
Session Type:
Posters
FP Number:
---
Authors:
Antonio; Bruno Cordeiro Piçarra; Mafalda Carrington; Ana Rita Santos; Rui Azevedo Guerreiro; João Carvalho; Kisa Hyde Congo; Diogo Brás; David Neves; José Eduardo Aguiar; Em nome dos investigadores do Registo Nacional de Síndromes Coronárias Agudas
Abstract
<p><strong>Introduction:</strong> The presence of cardiogenic shock (CC) after acute myocardial infarction (AMI) is associated with high mortality.</p> <p><strong>Objective:</strong> To compare the clinical characteristics, cardiac and non-cardiac complications among survivors and non-survivors of CC after AMI in order to identify predictors of in-hospital mortality.</p> <p><strong>Population and Methods:</strong> An observational study involving 467 patients (P) with CC after AMI included in a national multicenter registry. Considered 2 groups: Group 1 - P with CC who died (n = 190) and Group 2 - P with CC who survived (n = 277). We recorded age, gender, personal history, coronary angiography and angioplasty performed, in-hospital therapy and ejection fraction, cardiac complications (Re-infarction, mechanical complications, high-grade atrial ventricular block, sustained ventricular tachycardia) and non-cardiac complications [acute renal injury (ARI), major bleeding and stroke]. Multivariate analysis was performed to identify predictors of in-hospital mortality.</p> <p><strong>Results:</strong> Mortality in patients with CC after AMI was 40.6%. Group 1 P were older (77 ± 10vs68 ± 13 years, p <0.001), presented higher prevalence of diabetes mellitus (41.8% vs 28.2%, p = 0.003), previous AMI (23.8% vs. 12%, p <0.001) 7%, p = 0.002), previous angor (31.9% vs14.1%, p = 0.001), heart failure (18.6% vs8.7%, p = 0.002) and peripheral arterial disease (11.8% vs 6.2%, p = 0.03). There were fewer coronary angiographies (64.2% vs87.7%, p <0.001), with no difference in the number or type of vessels with lesions in both groups, as well as inotropic therapy. With the exception of mechanical complications, more prevalent in group 1 (12.6% vs 5.4%, p = 0.006), there were no differences in the prevalence of the remaining cardiac complications. Among the non-cardiac complications considered, only the presence of ARI was more prevalent in Group 1 (72.1% vs 37.5%, p <0.001). After multivariate analysis the presence of age> 75 years [OR: 2.21 (CI: 1.39-3.51)], previous angor [OR: 1.91 (CI: 1.09-2.92)], LRA [OR: 3.14 (CI: 4.0-7.04)] and mechanical complications [OR: 3.82 (CI: 2.39-6.10] were independent predictors of in-hospital mortality of P with CC post-AMI.</p> <p><strong>Conclusions:</strong> Mortality in patients with CC after AMI remains high. Age> 75 years, prior angor, ARI and mechanical complications are independent predictors of in-hospital mortality in P with CC post-AMI.</p>
Slides
Our mission: To reduce the burden of cardiovascular disease
Visit our site