Predictive value of scores of model for end-stage liver disease-Ⅺ to prognosis in patients with acute my-ocardial infarction after intracoronary stent implantation
Predictive value of scores of model for end-stage liver disease-Ⅺ to prognosis in patients with acute my-ocardial infarction after intracoronary stent implantation
Objective To discuss the predictive value of scores of model for end-stage liver disease-Ⅺ(MELD-Ⅺ)to prognosis in patients with acute myocardial infarction(AMI)after intracoronary stent implantation.Methods AMI patients(n=226)were retrospectively chosen from Affiliated Hospital of Inner Mongolia Medical University from Jan.2021 to Dec.2022.According to MELD-Ⅺ scores at admission time,the patients were divided into high MELD-Ⅺ score group and low MELD-Ⅺ score group(each n=113).The short-term and long-term prognoses were compared between 2 groups.Results Compared with low MELD-Ⅺ score group,left ventricular ejection fraction(LVEF)decreased significantly[(51.67±7.91)％vs.(60.91±5.91)％],(P＜0.001),and N-terminal pro-brain natriuretic peptide(NT-proBNP)increased significantly(822.87±462.38)ng/L vs.(701.84±338.21)ng/L,(P=0.026)in high MELD-Ⅺ score group.The incidence rates of adverse outcome events increased significantly in high MELD-Ⅺ score group compared with low MELD-Ⅺ score group(16.81％vs.6.19％,P=0.012).MELD-Ⅺ score had some predictive value to adverse outcome events in AMI patients after intracoronary stent implantation(AUC=0.732,95％CI:0.671～0.798),(P＜0.001).Conclusion MELD-Ⅺ has some reference value in predicting prognosis in AMI patients.
关键词
终末期肝病模型-Ⅺ/急性心肌梗死/心脏功能/预后/冠状动脉支架植入术
Key words
Model for end-stage liver disease-Ⅺ/Acute myocardial infarction/Heart function/Prognosis/Intracoronary stent implantation
万方数据