Higher pulmonary arterial elastance independently predicted in-hospital death in patients with STEMI classified as Killip classes 3-4 (OR 2.49).
Observational (n=145)
No
Does pulmonary arterial elastance (PaE) predict in-hospital death in patients with STEMI classified as Killip classes 3-4?
In patients with STEMI complicated by advanced heart failure or cardiogenic shock, pulmonary arterial elastance measured immediately after primary PCI is a strong, independent predictor of in-hospital mortality.
Effect estimate: OR 2.49 (95% CI 1.02-6.13)
p-value: p=0.046
Background: Invasive hemodynamic assessment is critical in patients with ST-segment elevation myocardial infarction (STEMI) classified as Killip classes 3–4. However, the prognostic utility of pulmonary arterial elastance (PaE) remains unclear.
Kawai et al. (Tue,) conducted a observational in ST-segment elevation myocardial infarction (STEMI) classified as Killip classes 3-4 (n=145). Pulmonary arterial elastance (PaE) measurement vs. Other hemodynamic indices (CPO, PAPI, PVR) was evaluated on In-hospital all-cause death (OR 2.49, 95% CI 1.02-6.13, p=0.046). Higher pulmonary arterial elastance independently predicted in-hospital death in patients with STEMI classified as Killip classes 3-4 (OR 2.49).