In-hospital mortality of patients with cardiogenic shock after acute myocardial infarction; impact of early revascularization

Hashmi, Kashif Ali; Abbas, Khawar; Hashmi, Atif Ali; Irfan, Muhammad; Edhi, Muhammad Muzzammil; Ali, Nauman; Khan, Amir

doi:10.1186/s13104-018-3830-7

Cited by 36 publications

(45 citation statements)

References 27 publications

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“…Our finding was in agreement with a study done by Dziewierz et al, where patients with cardiogenic shock were 7.39 times more likely to die in-hospital (95% CI:4.50-12.11) [64]. Similar finding from Afghanistan claimed that, of 351 patients with cardiogenic shock, the in-hospital mortality was reported about 44.7% [62].…”

Section: Discussionsupporting

confidence: 93%

“…Patients with cardiogenic shock in ACS should be treated with reperfusion therapy; supportive fluids and ionotropic agents [61]. The above finding could be due to inadequate use of reperfusion therapy [62]. However, a retrospective study conducted in Oman reported that out of 63 ACS patients having cardiogenic shock, the in-hospital mortality was 52.4%, even though 93.6% of them underwent PCI [63].…”

Section: Discussionmentioning

confidence: 99%

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Treatment outcome of acute coronary syndrome patients admitted to Ayder Comprehensive Specialized Hospital, Mekelle, Ethiopia; A retrospective cross-sectional study

et al. 2020

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Background Acute coronary syndrome (ACS) is increasingly becoming a common cause of cardiovascular mortality in developing countries. Even though, there is an introduction of limited percutaneous coronary intervention and thrombolytic therapies, in-hospital mortality due to ACS still remains high in sub-Saharan countries. Objective The aim of the study was to assess treatment outcome of ACS patients admitted to Ayder Comprehensive Specialized Hospital, Mekelle, Ethiopia. Methods A retrospective cross-sectional study was done by collecting data from patients' medical records using a data abstraction tool. Data were analyzed using logistic regression to determine crude and adjusted odds ratio. At 95% confidence interval, p-value<0.05 was considered as statistically significant. Results Of the total 151 patients, in-hospital mortality was found to be 24.5%, and hypertension was the most frequent (46.4%) risk factor of ACS. Concerning the management practice, catheterization and primary percutaneous coronary intervention were done in 27.1%, and 3.9% respectively. Additionally, in emergency setting loading dose of aspirin and clopidogrel were used in about 63.8% and 62.8%, respectively. The other frequently used medications were beta-blockers (86.9%), angiotensin converting enzymes/angiotensin receptor blockers

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Treatment outcome of acute coronary syndrome patients admitted to Ayder Comprehensive Specialized Hospital, Mekelle, Ethiopia; A retrospective cross-sectional study

et al. 2020

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“…Above cited studies emphasize the continuous use of Killip class in resource depleted setting like ours and still nd its utility in risk strati cation of patients with LVF secondary to MI. MI is associated with high mortality and multiple complications in our population [8,9]. As no such facilities (emergency angioplasty and emergency bypass surgery) are available in tertiary care hospitals, so mortality may be different in each class.…”

Section: Introductionmentioning

confidence: 99%

Risk Assessment of Patients After ST-Segment Elevation Myocardial Infarction by Killip Classification: An Institutional Experience

Hashmi¹,

Adnan

Hashmi

et al. 2020

Preprint

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Objectives: Revalidation of Killip class in our local population is mandatory. We planned this study to increase cardiologist readiness to tackle the risks associated with increased mortality in each class post ST elevation myocardial infarction (STEMI). Objectives were to determine frequency of Killip class I, II, III, IV and in-hospital mortality in each Killip class in patients with left ventricle failure secondary to STEMI.Results: This cross-sectional Study was conducted in Department of Cardiology, Jinnah Hospital. Patients with STEMI were stratified using Killip Class and validation was performed by determining the within 15 days in-hospital mortality in each Killip class. Patients with chronic disease were excluded. The frequency (percentage) of patients with STEMI in each killip class from I to IV was 395 (81.4%), 46 (9.5%), 27(5.6%) and 17(3.5%) respectively while in-hospital mortality came out to be, 39 (9.8%), 4 (8.6%), 25 (92.5%), and 17(100%), in Killip class I, II, III and IV respectively. Presence of diabetes, history of smoking and BMI more than 30kg/m2 were significant contributor to mortality along with higher Killip class and age of presentation. It is concluded that Killip class is a valid tool for risk stratification for patients after STEMI.

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“…Although it is more practical than the femoral approach; it is associated with a higher rate (5-10%) of asymptomatic radial artery occlusion [6]. In third world countries like Pakistan, complication rates of cardiovascular diseases are quite high [7][8][9][10] and there is need to utilize effective techniques that can reduce complication rates.…”

Section: Introductionmentioning

confidence: 99%

The frequency of radial artery occlusion following cardiac catheterization with the use of transradial pneumatic compression band

et al. 2020

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Objectives Radial artery occlusion is a silent complication of a transradial approach to cardiac catheterization that may complicate subsequent transradial procedures in patients undergoing cardiac catheterization. A transradial band reduces vascular complications and provides brisk, powerful and effective haemostasis. The purpose of this study was to assess the frequency of radial artery occlusion in 180 patients undergoing transradial coronary catheterization. Results The median age of the study cohort was 58 years. Radial artery occlusion was found in 14 (7.8%) patients. When stratifying by age group and sex, there was no significant difference in radial artery occlusion between age groups and sex. It was likewise found that comorbidities such as diabetes mellitus, hypertension and smoking, increased the risk of radial artery occlusion however this was observed to be significant only for diabetes mellitus. We therefore conclude that a transradial pneumatic pressure band is an extremely helpful and safe strategy to prevent radial artery occlusion.

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In-hospital mortality of patients with cardiogenic shock after acute myocardial infarction; impact of early revascularization

Cited by 36 publications

References 27 publications

Treatment outcome of acute coronary syndrome patients admitted to Ayder Comprehensive Specialized Hospital, Mekelle, Ethiopia; A retrospective cross-sectional study

Treatment outcome of acute coronary syndrome patients admitted to Ayder Comprehensive Specialized Hospital, Mekelle, Ethiopia; A retrospective cross-sectional study

Risk Assessment of Patients After ST-Segment Elevation Myocardial Infarction by Killip Classification: An Institutional Experience

The frequency of radial artery occlusion following cardiac catheterization with the use of transradial pneumatic compression band

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