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In patients with acute myocardial infarction and cardiogenic shock undergoing primary PCI, in-hospital cardiac arrest and renal failure are independent predictors of in-hospital mortality.
In the contemporary era of PPCI, the in-hospital mortality of patients with AMI and cardiogenic shock remained relatively high. History of cardiac arrest during hospitalization and renal failure were independent predictors of in-hospital mortality. Novel treatment options are certainly needed to improve the prognosis of this group of patients. Characteristics ( n = 145 ) Age (Mean) 63.1 + 12.1 years Sex Male Female 127 (88%) 18 (12%) Index event Anterior STEMI Multi-vessel Occlusive Left Main 106 (73%) 73 (54%) 16 (11%) Intervention Performed Bare Metal Stent Drug Eluting Stent Multi-vessel PCI Post-PCI TIMI 3 Flow 94 (65%) 51 (35%) 26 (18%) 112 (77%) Door to balloon time (Average) 69.4 + 29.6 minutes Ejection Fraction (Mean) 34.4 + 12.3 % Hemodynamic Support Inotropes Intra-aortic Balloon Counterpulsation Extracorporeal Membrane Oxygenation 141 (97%) 100 (69%) 5 (3.4%) Cardiac Arrest ( >1 episode) 7 (4.8%)
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Ho et al. (2014) studied this question.
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