Clinical predictors and outcomes of ST-elevation myocardial infarction related cardiogenic shock in the Asian population

• Published in: International journal of cardiology. Heart & vasculature 2024-08, Vol.53, p.101463, Article 101463
• Main Authors: Djohan, Andie Hartanto, Evangelista, Lauren Kay Mance, Chan, Koo-Hui, Lin, Weiqin, Adinath, Anand Ambhore, Kua, Jie Li, Sim, Hui Wen, Chan, Mark Y., Ng, Gavin, Cherian, Robin, Wong, Raymond C.C., Lee, Chi-Hang, Tan, Huay-Cheem, Yeo, Tiong-Cheng, Yip, James, Low, Adrian F, Sia, Ching-Hui, Loh, Poay Huan
• Format: Article
• Language: English
• Subjects: Acute coronary syndrome; Cardiogenic shock; Heart failure; Mechanical circulatory support; Original Paper; Stemi
• ISSN: 2352-9067; 2352-9067
• DOI: 10.1016/j.ijcha.2024.101463

Cardiogenic shock (CS) complicating myocardial infarction is associated with poor outcomes. Data among Asian populations are scarce. We aimed to investigate the long-term outcomes, prognostic factors, and predictors of CS among Asian ST elevation myocardial infarction (STEMI) patients. This was a retrospective cohort study of consecutive patients undergoing primary percutaneous coronary intervention (PPCI) for STEMI within our regional STEMI network between 2015 and 2019. The long-term outcomes of those with and without CS were compared. Clinical predictors of outcomes and development of CS were investigated. A total of 1791 patients who underwent PPCI were included. Patients completed at least 2 years’ follow-up with a median follow-up period of 2.6 years (IQR 1.0, 3,9). Overall, 208/1791 (11.6 %) STEMI patients developed CS. These patients were older (61.1 ± 12.5 vs 57.8 ± 12.2, P