The Importance of Intra-aortic Pulse Pressure After Anterior ST-segment Elevation Myocardial Infarction

To evaluate the association of pulse pressure (PP) with mortality and major adverse cardiac events (MACE) in one-year period after anterior ST-elevation myocardial infarction (A-STEMI). A total of 261 consecutive patients whose blood pressure was measured with the aid of a catheter before primary pe...

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Bibliographic Details
Published in:Revista brasileira de cirurgia cardiovascular 2018, Vol.33 (6), p.579-587
Main Authors: Gul, Ilker, Cerit, Levent, Senturk, Bihter, Alkan, Mustafa Beyazıt, Kemal, Hatice, Cerit, Zeynep, Yaman, Belma, Usalp, Songul, Duygu, Hamza
Format: Article
Language:English
Subjects:
Acute coronary syndromes
Aged
Blood pressure
Blood Pressure - physiology
CARDIAC & CARDIOVASCULAR SYSTEMS
Cardiac Catheterization
Cardiology
Cardiovascular disease
Coronary vessels
Electrocardiography
Emergency medical care
Female
Health risk assessment
Heart attacks
Heart failure
Heart surgery
Humans
Hypertension
Ischemia
Kaplan-Meier Estimate
Laboratories
Male
Medical imaging
Middle Aged
Mortality
Myocardial Infarction
NMR
Nuclear magnetic resonance
Original
Patients
Percutaneous Coronary Intervention - methods
Preoperative Care
Prognosis
Pulse - methods
Risk Factors
ST Elevation Myocardial Infarction
ST Elevation Myocardial Infarction - mortality
ST Elevation Myocardial Infarction - physiopathology
ST Elevation Myocardial Infarction - surgery
Stroke Volume - physiology
SURGERY
Treatment Outcome
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Summary:To evaluate the association of pulse pressure (PP) with mortality and major adverse cardiac events (MACE) in one-year period after anterior ST-elevation myocardial infarction (A-STEMI). A total of 261 consecutive patients whose blood pressure was measured with the aid of a catheter before primary percutaneous coronary intervention (PPCI) between August 2016 and February 2017 were included in the study. The patients were divided into three groups according to pulse pressure (PP) (Group 1, PP50 mmHg). The mean age of the patients was 63.4±14.1 years, and 206 of them were male. The groups were similar in terms of age and diastolic blood pressure (DBP). The ratio of female patients in Group 1 was higher, and their systolic blood pressure (SBP) was lower than those from the other groups (P=0.005 vs. P=0.042). The rates of MACE and mortality were higher in Group 1. The predictive PP values were calculated to be 42.5 mmHg for development of MACE and 41.5 mmHg for mortality. One-year survival ratio was worse in Group 1 than in the others according to Kaplan-Meier analysis (P
ISSN:1678-9741
0102-7638
1678-9741
DOI:10.21470/1678-9741-2018-0106