What is the long-term mortality rate and cause of death in patients with STEMI treated with primary PCI?
In STEMI patients treated with primary PCI, mortality is predominantly cardiovascular in the first year but shifts to mainly non-cardiovascular causes thereafter.
In the era of routine primary PCI, we found a mortality rate of 7.3% at 1 year, and 2.05% per year thereafter. Cause of death was predominantly cardiovascular in the first year and mainly non-cardiovascular after 1 year. Age, diabetes, prior PCI, cardiogenic shock, eGFR <60 and delayed treatment were independent predictors of mortality.
Hosseiny et al. (Fri,) studied this question.