Six predictors for early cardiac death after discharge from acute myocardial infarction were identified (P<0.001), helping discriminate high-risk patients beyond current LVEF criteria.
Cohort (n=10,103)
Yes
Adding clinical factors like KILLIP class, CKD, anemia, mechanical support, and DAPT status to LVEF significantly improves the prediction of early cardiac death within 90 days post-AMI.
p-value: p=< 0.001
Background: The use of a cardioverter defibrillator for the primary prevention of sudden cardiac death is not recommended within 40 days after acute myocardial infarction (AMI). We investigated the predictors for early cardiac death among patients who were admitted for AMI and successfully discharged. Methods: Consecutive patients with AMI were enrolled in a multicenter prospective registry. Among 10,719 patients with AMI, 554 patients with in-hospital death and 62 patients with early non-cardiac death were excluded. Early cardiac death was defined as a cardiac death within 90 days after index AMI. Results: < 0.001. Conclusion: We identified six predictors for early cardiac death after discharge from AMI. These predictors would help to discriminate high-risk patients over current LVEF criteria and to provide an individualized therapeutic approach in the subacute stage of AMI.
Choi et al. (Thu,) conducted a cohort in Acute myocardial infarction (n=10,103). Six predictors for early cardiac death after discharge from acute myocardial infarction were identified (P<0.001), helping discriminate high-risk patients beyond current LVEF criteria.
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