Influential factors of adverse cardiovascular events after PCI in patients with heart failure with acute myocardial in-farction and decreased ejection fraction
Objective To investigate the influencing factors of adverse cardiovascular events 6 months after PCI in patients with heart failure with acute myocardial infarction and decreased ejection fraction.Methods One hundred and twelve patients with acute myocardial infarction(AMI)complicated with decreased ejection fraction who were admitted to the Cardiology Department of Chengdu Third People's Hospital from January 2019 to January 2022 were selected as the study objects.All the patients included in the study were treated by PCI in the cardiology department of the hospital.After the operation,the general clinical data of the patients were counted,and the incidence of adverse vascular events and the prognosis of the patients were followed up,Single factor analysis combined with multivariate Logistic regression analysis was used to analyze the related factors affecting the occurrence of cardiovascular events.Results The incidence of cardio-vascular adverse events in patients included in the study mainly included arterial dissection,local hematoma,local bleeding,pseudoaneurysm,upperlimb swelling and pain,and infection.The incidence of adverse events was 36.61%(41/112),and pa-tients with vascular adverse events were generally older,The proportion of patients with a history of unhealthy life style(78.05%vs.40.85%),non-standard use of anticoagulant drugs after surgery(68.29%vs 28.17%),and with concomitant un-derlying diseases(56.10%vs 26.76%)were significantly higher.Through multivariate Logistic regression analysis,it was found that older age,a history of unhealthy life style,non-standard use of postoperative anticoagulants,concomitant un-derlying diseases,were important influencing factors for the occurrence of adverse neovascular events in patients,After treatment,a retrospective comparison of the prognosis of patients with and without cardiovascular adverse events found that the readmission rate and mortality rate of patients with cardiovascular adverse events were significantly higher than those without cardiovascular adverse events.The difference was statistically significant.Through ROC analysis,it can be seen that age(AUC=0.837),non-standard use of anticoagulant drug(AUC=0.701),unhealthy life style history(AUC= 0.691),with underlying diseases(AUC=0.647)were of high predictive value for cardiovascular adverse events(P<0.05).Conclusion The patient's age,basic medical history,unhealthy life style history,non-standard use of anticoagulant drugs are all influencing factors for the occurrence of adverse cardiovascular events after PCI.Therefore,after PCI,it is necessary to timely adjust the treatment plan according to the patient's corresponding conditions to reduce the incidence of adverse cardiovascular events.
国家科技期刊平台
NSTL
维普
万方数据
