Key result
Ventricular fibrillation is linked to ~466% higher in-hospital heart failure risk in acute anterior STEMI.
Why the study?
Heart failure frequently complicates acute anterior wall STEMI due to larger infarct size, but predictors of in-hospital HF in these patients remain inadequately defined.
Population
714 consecutive acute anterior wall STEMI patients undergoing pPCI
Comparison
Patients with in-hospital HF vs non-HF
Design
Retrospective cohort study
Follow-up
During hospitalization
Authors
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VF signals elevated in-hospital HF risk in anterior STEMI; hypothesis-generating and requires prospective validation before guiding care.
Cohort (n=714)
Odds Ratio: 5.66 (95% CI 2.25–14.23)
p-value: p=< 0.001
Ventricular fibrillation, community-acquired pneumonia, age, LVEF, and peak NT-pro-BNP are independent predictors of in-hospital heart failure following acute anterior wall STEMI.
Liang et al. (2023) conducted a cohort in Acute anterior wall ST-segment elevation myocardial infarction (n=714). Ventricular fibrillation was evaluated on In-hospital heart failure (OR 5.66, 95% CI 2.25-14.23, p=< 0.001). Ventricular fibrillation was the strongest independent predictor of in-hospital heart failure in patients with acute anterior wall STEMI (OR 5.66; 95% CI 2.25-14.23; P<0.001).
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