Predictive Value of Serum UA Combined with Pcv-aCO2 on Short-term Cardiogenic Shock in Patients with Acute Myocardial Infarction
Objective:To explore the predictive value of serum uric acid(UA)combined with central veno-arterial partial pressure difference of carbon dioxide(Pcv-aCO2)for short-term cardiogenic shock(CS)in patients with acute myocardial infarction(AMI).Methods:250 AMI patients were selected as the study subjects and divided into shock group and non-shock group based on the occurrence of CS,and the serum UA level and Pcv-aCO2 of the two groups were compared.The risk factors for short-term CS in AMI patients and the predictive value of serum UA and Pcv-aCO2 for short-term CS in AMI patients were analyzed.Results:The white blood cell count(WBC),urea nitrogen(BUN),creatinine(Cr),C-reactive protein(CRP),N-terminal B-type natriuretic peptide(NT-proBNP),UA level and Pcv-aCO2 in shock group were higher than those in non-shock group.The differences were statistically significant(t=3.224,4.098,3.938,2.753,4.212,4.644,8.443;P＜0.05).WBC,BUN,Cr,CRP,NT-proBNP,serumUA,Pcv-aCO2 were the risk factors for CS in patients with AMI.The sensitivity of serum UA combined with Pcv-aCO2 to predict the near-term CS in AMI patients was higher than that predicted by each indicator alone,and the differences were statistically significant(Z=2.154,2.128;P＜0.05),and the specificity was basically consistent with that predicted by each indicator alone.Conclusion:Serum UA level and Pcv-aCO2 are risk factors for CS in patients with AMI,and their combination has good predictive value for CS in patients with AMI.
万方数据
维普
