The Value Of Zwolle Risk Score Combined With BNP In Predicting Adverse Cardiovascular Events In Patients With STEMI

Objective: To explore the predictive value of Zwolle risk score(ZRS)and brain natriuretic peptide(BNP)in predicting major adverse cardiovascular events(MACE)in patients with acute ST segment elevation myocardial infarction(STEMI)after emergency percutaneous coronary intervention(PCI).Methods: The selected subjects were 136 STEMI patients who underwent emergency PCI in the Second Affiliated Hospital of Xinjiang Medical University from January 2021 to July 2022,and the patients were divided into non-MACE group(n = 115)and MACE group(n = 21)according to whether they had in-hospital adverse cardiovascular events.The basic information,biochemical data,intervention and clinical data of the two groups were compared respectively.Results:The age,white blood cell(WBC),BNP and ZRS in MACE group were higher than those in non-MACE group.ZRS+BNP(AUC=0.903,P < 0.001),BNP(AUC=0.836,P < 0.001)and ZRS(AUC=0.785,P < 0.001)can predict MACE in hospital,and the AUC of ZRS+BNP is larger than that of ZRS and BNP.Conclusion: Compared with single BNP and ZRS,ZRS+BNP is more suitable for predicting in-hospital MACE in patients with STEMI to some extent.