Clinical Analysis Of Death Cases In PCI Perioperative

Objective:To summarize perioperative death risk factors in patients with coronary heart diseasewho determine percutaneous coronary intervention therapy.Methods:A retrospective analysis from January2013to December2013, First Hospital of JilinUniversity Medical Center Cardiovascular Clinical data undergoing PCI3100cases ofpatients. Of which46cases of perioperative mortality,23males and23females. Never deathsstratified sampling47cases in the control group,22males and25females, were comparedpatient clinical data and basic information related to interventional procedures.Results:Perioperative mortality was1.48%, intraoperative death six cases (13.04%), death in40patients (86.96%) during the postoperative hospital stay. Of which25cases (54.34%) withacute myocardial infarction (AMI) patients underwent emergency PCI. The cause of deathincluded cardiac death in43cases (93.48%), non-cardiac death three cases (6.52%). Cardiacdeath in its center, pump failure, malignant arrhythmia, cardiac rupture, cardiac arrest andother causes (sudden death, ST, etc.) were30.23%,23.26%,20.93%,16.28%,9.30%.Univariate analysis showed the risk of death: high Killip class, ejection fraction, preoperativesevere arrhythmias, blood group among IRA after a statistically significant difference (P<0.05), Logistic regression analysis showed that high Killip class as an independent riskimpact of death factors, poor cardiac function, the risk of death is higher; IRA blood flowrestored as an independent risk impact of death factors restoration of IRA blood flow worse orno-reflow, the higher the risk of death.Conclusion:High Killip class and IRA blood flow restoration are independent risk factorsperioperative mortality in patients; cause of death was cardiac death.