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

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

Research output: Contribution to journalArticlepeer-review

27 Citations (Scopus)

Abstract

Objectives: The purpose of this study was to determine the frequency of in-hospital mortality in 351 patients who developed cardiogenic shock after acute myocardial infarction and by determining this; we might find that how efficiently we could manage this serious condition in our population by knowing the factors which are associated with high mortality after cardiogenic shock. Moreover impact of early revascularization like thrombolytic therapy or angioplasty was also evaluated. Results: Mean age was 65.41 ± 7.78 years in our study. In-hospital mortality with cardiogenic shock after acute myocardial infarction was found to be 44.73%. Significant association of in-hospital mortality was noted with age, hypertension, diabetes mellitus and BMI. Patients receiving early revascularization were noted to have lower in-hospital mortality compared to those in whom revascularization was not done due to delayed presentation. This study concluded that there is a high frequency (44.73%) of in-hospital mortality in patients with cardiogenic shock after acute myocardial in our population. So, we recommend that for achieving a good outcome and to reduce in-hospital mortality; in addition to rapid diagnosis of this condition, underlying risk factors like hypertension and diabetes should be evaluated and managed accordingly and early revascularization should be done when possible.

Original languageEnglish
Article number721
JournalBMC Research Notes
Volume11
Issue number1
DOIs
Publication statusPublished - 11 Oct 2018
Externally publishedYes

Keywords

  • Acute myocardial infarction
  • Cardiogenic shock
  • In hospital mortality
  • Ischemic heart disease

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