Clinical Study

Shock Index on Admission Is Associated with Coronary Slow/No Reflow in Patients with Acute Myocardial Infarction Undergoing Emergent Percutaneous Coronary Intervention

Table 1

Clinical and coronary angiographic features in patients with normal flow and slow/no reflow.

Normal flow groupSlow/no reflow groupP value
n=124n=29

Male gender, n (%)96(77.4)25(86.2)0.295
Age, years63±1461±130.423
Cigarette smoking, n (%)60(48.4)16(55.2)0.511
Heart rate83±1386±140.248
Systolic blood pressure, mmHg129±20123±180.159
Diastolic blood pressure, mmHg80±1484±190.306
Shock index0.65±0.090.71±0.090.003
Shock index≥0.66, n (%)51(41.1)22(75.9)0.001
Diabetes mellitus, n (%)34(27.4)8(27.6)0.986
Hypertension, n (%)65(52.4)16(55.2)0.789
Hyperlipidemia, n (%)31(25.0)10(34.5)0.299
Previous cerebrovascular disease, n (%)15(12.1)5(17.2)0.459
Time to reperfusion (hour)7.63±5.907.52±5.650.926
STEMI, n (%)84(67.7)21(72.4)0.625
Initial TIMI flow 0/1 grade, n (%)95(76.6)26(89.7)0.120
High thrombus burden, n (%)44(35.5)20(69.0)0.001
Preoperative use of tirofiban, n (%)75(60.5)17(58.6)0.854
Aspiration, n (%)24(19.4)6(20.7)0.871
Infarct-related coronary artery0.357
 LAD, n (%)62(50.0)15(51.7)
 RCA, n (%)41(33.1)12(41.4)
 LCA, n (%)21(16.9)2(6.9)
Killip classification0.034
1/2, n (%)112(90.3)22(75.9)
3/4, n (%)12(9.7)7(24.1)
Multivessel disease, n (%)60(48.4)15(51.7)0.746
Stent diameter, mm3.07±0.303.17±0.350.100
Stent length, mm35±1534±170.677
Maximal balloon pressure, atm13±314±30.085
LVEF after PCI, %54±949±80.024
In-hospital medication
 Aspirin, n (%)123(99.2)28(96.6)0.259
 Clopidogrel or ticagrelor, n (%)123(99.2)28(96.6)0.259
 ACEI or ARB, n (%)74(59.7)17(58.6)0.917
β-Blockers, n (%)54(43.5)10(34.5)0.373
 Statins, n (%)118(95.2)27(93.1)0.654
In-hospital outcomes, n (%)2(1.6)5(17.2)<0.001

STEMI: ST-elevation myocardial infarction; TIMI: thrombolysis in myocardial infarction; LAD: left anterior descending artery; RCA: right coronary artery; LCA: left circumflex artery; LVEF: left ventricular ejection fraction; PCI: percutaneous coronary intervention; ACEI: angiotensin converting enzyme inhibitor; ARB: angiotensin-receptor blocker.