Prognostic importance of culprit lesion location in cardiogenic shock due to myocardial infarction
Research output: Contribution to journal › Journal article › Research › peer-review
Background:
As existing results are diverging, and the patient population has changed significantly, this study sought to investigate the prognostic importance of the culprit lesion location in patients with cardiogenic shock due to myocardial infarction (AMICS), in a contemporary and unselected patient population.
Methods:
From the recruitment area of two tertiary heart centres in Denmark, covering 3.9 million citizens corresponding to two-thirds of the Danish population, all AMICS patients in the period of 2010-2017 were individually identified and validated through patient records.
Results:
A total of 1716 patients with AMICS were identified. Immediate revascularization was performed in 1482 patients (86%). Among these, a culprit lesion in the left main coronary artery (LM) was associated with the highest 30-day mortality rate (66%), p(logrank)
Conclusions:
Among AMICS patients undergoing revascularization, a LM culprit lesion was associated with the highest short-term mortality, whereas patients with a culprit lesion in the remaining coronary arteries had comparable and lower mortality rates. Multivessel disease patients had similar prognoses irrespective of percutaneous coronary intervention approach and whether partial or complete revascularization was achieved.
Original language | English |
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Journal | European Heart Journal: Acute Cardiovascular Care |
Volume | 10 |
Issue number | 1 |
Pages (from-to) | 25-32 |
Number of pages | 8 |
ISSN | 2048-8726 |
DOIs | |
Publication status | Published - 2021 |
- Cardiogenic shock, myocardial infarction, left main, multivessel disease, revascularization, acute heart failure, PERCUTANEOUS CORONARY INTERVENTION, ANGIOGRAPHIC FINDINGS, CARDIAC-ARREST, PRIMARY PCI, MULTIVESSEL, MORTALITY, REGISTRY, ASSOCIATION, SURVIVAL, DISEASE
Research areas
ID: 302820367