Analysis of influencing factors of poor prognosis after PCI in patients with acute myocardial infarction
Objective:To analyze influencing factors of poor prognosis after percutaneous coronary intervention(PCI)in patients with acute myocardial infarction(AMI).Methods:The clinical data of 120 patients with AMI admitted to this hospital from February 2022 to February 2023 were retrospectively analyzed.They were followed up for 1 year.The prognosis of the AMI patients after PCI was statistically analyzed.According to the occurrence of poor prognosis,Logistic regression was used to analyze the risk factors of poor prognosis in these patients with AMI after PCI.Results:After 1 year of follow-up,28 patients with AMI had poor prognosis after PCI,accounting for 23.33%,which were set as the occurrence group,and the rest were set as the non-occurrence group.The proportions of the patients with body mass index(BMI)≥24 kg/m2,Killip grade Ⅲ-Ⅳ,history of coronary heart disease,family history of coronary heart disease,high-density lipoprotein(HDL-C)＜1.00 mmol/L,low density lipoprotein(LDL-C)≥4.10 mmol/L in the occurrence group were higher than those in the non-occurrence group,and the differences were statistically significant(P＜0.05).Logistic regression analysis showed that BMI≥24 kg/m2,serum HDL-C＜1.00 mmol/L,LDL-C≥4.10 mmol/L were all risk factors affecting the poor prognosis of the AMI patients after PCI(OR＞1,P＜0.05).Conclusions:BMI≥24 kg/m2,serum HDL-C＜1.00 mmol/L,LDL-C≥4.10 mmol/L are the risk factors for poor prognosis in the patients with AMI after PCI.
万方数据
维普
