Clinical Characteristics And Influencing Factors Of Nosocomial Adverse Cardiovascular Events After Emergency PCI In Patients With Acute ST-segment Elevation Myocardial Infarction

ObjectiveTo investigate the clinical characteristics and influencing factors of nosocomial adverse cardiovascular events in patients with acute ST-elevation myocardial infarction undergoing emergency PCI and to improve the diagnosis and treatment of acute ST-segment elevation myocardial infarction and reduce the occurrence of nosocomial adverse cardiovascular events in patients with ST-segment elevation myocardial infarction Rate basis.MethodSelect the First Hospital of Jilin University Cardiovascular Disease Diagnosis and Treatment Center from January 2015 to December 2015 period,admitted to undergo direct coronary angiography and percutaneous coronary intervention in patients with initial ST-segment elevation AMI patients,according to the inclusion and exclusion The standard finalized 614 patients,including 431 males,accounting for 70.19% of the total,with an average age of 55.64 years;183 females,accounting for 29.80% of the total,the average age was 63.34 years;(168 cases)and no hospital MACE group(446 cases).The basic data of patients,cardiac echocardiography,coronary angiography,interventional therapy recordings,laboratory tests and major hospital adverse cardiovascular events were recorded.Binary logistic regression To investigate the clinical features and influencing factors of nosocomial adverse cardiovascular events after emergency PCI in patients with acute ST-segment elevation myocardial infarction.ResultIn-hospital MACE group age,male proportion,smoking history,heart rate,proportion of multi-vessel disease,days of hospitalization,muscle calcium peak,creatinine,alanine aminotransferase,aspartate aminotransferase,fasting blood glucose,mean corpuscular volume,TNI was higher than no hospital MACE group;in-hospital MACE group ejection fraction,abnormal wall motion segment ratio,angiography,thrombus aspiration ratio,potassium,red blood cells,hemoglobin level,The hemoglobin concentration was lower than the no-in-hospital MACE group.Whether or not there was a hospital MACE event as a dependent variable,age,sex,smoking,LVEF,abnormal wall motion,number of lesions,,thrombus aspiration,hospital stay,peak muscle calcium,potassium,creatinine,,alanine aminotransferase,fasting blood glucose,aspartate aminotransferase,red blood cells,hemoglobin,mean corpuscular volume,mean hemoglobin concentration,and TNI were independent variables,and binary logistic regression analysis was performed.It was reported that the increase in age,decreased LVEF,multi-vessel disease,no thrombectomy,hypokalemia,elevated alanine transaminase,elevated fasting blood glucose,and elevated mean corpuscular volume were the major adverse events in the hospital.Independent risk factors for vascular events.ConclusionAge,LVEF decreased,multivessel disease,without thrombus aspiration,hypokalemia,elevated amethylase,elevated fasting blood glucose,elevated mean corpuscular volume,is the occurrence of major adverse cardiovascular events in the hospital Independent risk factors.