Incidence Rate and Risk Factors of Heart Failure in STEMI Patients Undergoing PCI
Objective To investigate the incidence rate of heart failure in patients with ST-elevation myocardial infarction(STEMI)undergoing percutaneous coronary intervention(PCI)and analyze its risk factors.Methods The clinical data of 302 STEMI patients who received PCI treatment in Xinxiang Central Hospital were retrospectively analyzed from August 2016 to September 2019.According to whether the patients developed heart failure during treatment,the patients were divided into heart failure group and non-heart failure group.The two groups of patients were compared in terms of baseline data,blood pressure status at admission[mean arterial pressure(MAP),systolic blood pressure(SBP),diastolic blood pressure(DBP)],cardiac ultrasound examination[left atrial diameter(LAD),left ventricular end diastolic diameter(LVEDD),right atrial diameter(RAD),right ventricular end-diastolic diameter(RVEDD)]and laboratory examination results.Univariate analysis and multivariate logistic regression analysis equations were used to analyze the risk factors affecting heart failure in STEMI patients undergoing PCI.Results Among 302 STEMI patients who underwent PCI for the first time,95 patients were complicated with heart failure,with an incidence rate of 31.46％.Age,ventricular arrhythmia,MAP,LAD,haemoglobin(Hb),white blood cell(WBC),absolute neutrophil count(ANC),C-reactive protein(CRP),number of coronary artery diseased blood vessels and location of coronary artery lesion were the single factors that affected the heart failure after PCI in STEMI patients(P＜0.05).Logistic regression analysis showed that age,previous ventricular arrhythmia,MAP,LAD,Hb and coronary artery lesion location were independent influencing factors for heart failure in STEMI patients after PCI(P＜0.05).Conclusion Age,previous ventricular arrhythmia,MAP,LAD,Hb and coronary artery lesion location are independent influencing factors for heart failure in STEMI patients after PCI.It is necessary to take targeted intervention measures so as to reduce the risk.
万方数据
维普
