Objective To analyze the factors associated with major adverse cardiac events(MACE)during hospitalization after percutaneous coronary intervention(PCI)in patients with acute myocardial infarction.Meth-ods A total of 76 patients with acute myocardial infarction who underwent PCI at Zhangpu County Hospital,Fujian Province,from February 2022 to February 2024,were selected.Based on the occurrence of MACE postop-eratively,patients were divided into two groups:the MACE group(n=36)and the non-MACE group(n=40).The incidence of MACE was recorded,and both univariate analysis and logistic regression analysis were employed to examine the related factors among clinical and laboratory indicators.Results Among the 76 PCI-treated pa-tients,36(47.37％)experienced MACE,including 19 cases of acute heart failure(52.78％)and 15 cases of severe arrhythmia(47.22％).Risk factors for MACE after PCI included age ≥ 65,hyperlipidemia,hyperglycemia,NYHA heart function grade≥Ⅱ,poor ST-segment resolution postoperatively,hypertension,direct bilirubin ≥ 5.46 mmol/L,total cholesterol ≥ 2.85 mmol/L,troponin Ⅰ ≥ 7.25 μg/L,high-sensitivity C-reactive protein ≥ 24.02 mg/L,and N-terminal pro-B-type natriuretic peptide ≥ 3874.57 mg/L.Preoperative intensive statin therapy was identified as a protective factor against MACE.Conclusion The incidence of MACE after PCI is relatively high and influenced by multiple factors.Early intervention targeting these factors may reduce the occurrence of MACE.
维普
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