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BioMed Research International
Volume 2017, Article ID 8530539, 8 pages
https://doi.org/10.1155/2017/8530539
Research Article

Prognostic Analysis for Cardiogenic Shock in Patients with Acute Myocardial Infarction Receiving Percutaneous Coronary Intervention

1The Division of Cardiology, Department of Medicine, Taichung Tzu Chi Hospital, The Buddhist Tzu Chi Medical Foundation, Taichung, Taiwan
2Department of Medicine, School of Medicine, Tzu Chi University, Hualien, Taiwan
3Division of Emergency Medicine, Department of Pediatrics, Changhua Christian Hospital, Changhua, Taiwan
4School of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
5Division of Pediatric General Medicine, Department of Pediatrics, Chang Gung Memorial Hospital at Linko, Kweishan, Taoyuan, Taiwan
6College of Medicine, Chang Gung University, Taoyuan, Taiwan

Correspondence should be addressed to Han-Ping Wu; moc.liamg@6221ruhtra

Received 10 November 2016; Accepted 4 January 2017; Published 30 January 2017

Academic Editor: Kazuyoshi Suenari

Copyright © 2017 Mao-Jen Lin et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Cardiogenic shock (CS) is uncommon in patients suffering from acute myocardial infarction (AMI). Long-term outcome and adverse predictors for outcomes in AMI patients with CS receiving percutaneous coronary interventions (PCI) are unclear. A total of 482 AMI patients who received PCI were collected, including 53 CS and 429 non-CS. Predictors for AMI patients with CS including recurrent MI, cardiovascular (CV) mortality, all-cause mortality, and repeated-PCI were analyzed. The CS group had a lower central systolic pressure and central diastolic pressure (both ). AMI patients with hypertension history were less prone to develop CS (). Calcium channel blockers and statins were less frequently used by the CS group than the non-CS group (both ) after discharge. Synergy between Percutaneous Coronary Intervention with Taxus and Cardiac Surgery (SYNTAX) score, CV mortality, and all-cause mortality were higher in the CS group than the non-CS group (all ). For patients with CS, stroke history was a predictor of recurrent MI (). CS, age, SYNTAX score, and diabetes were predictors of CV mortality (all ). CS, age, SYNTAX score, and stroke history were predictors for all-cause mortality (all ). CS, age, and current smoking were predictors for repeated-PCI (all ).