Journal ArticleDOI
Long-Term Prognostic Implications of the Admission Shock Index in Patients With Acute Myocardial Infarction Who Received Percutaneous Coronary Intervention.
Naoyuki Abe,Takashi Miura,Yusuke Miyashita,Naoto Hashizume,Soichiro Ebisawa,Hirohiko Motoki,Takuya Tsujimura,Takayuki Ishihara,Masaaki Uematsu,Toshio Katagiri,Ryuma Ishihara,Atsushi Tosaka,Uichi Ikeda +12 more
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TLDR
This study investigated the prognostic implications of admission SI for predicting long-term prognoses for acute myocardial infarction patients with AMI who received percutaneous coronary intervention and found Elevated admission SI was associated with poorer long- term prognosis.Abstract:
The admission shock index (SI) enables prediction of short-term prognosis. This study investigated the prognostic implications of admission SI for predicting long-term prognoses for acute myocardial infarction (AMI). The participants were 680 patients with AMI who received percutaneous coronary intervention. Shock index is the ratio of heart rate and systolic blood pressure. Patients were classified as admission SI <0.66 (normal) and ≥0.66 (elevated; 75th percentile). The end point was 5-year major adverse cardiac events (MACEs). Elevated admission SI was seen in 176 patients. Peak creatine kinase levels were significantly higher and left ventricular ejection fraction was lower in the elevated SI group, which had a worse MACEs. In multivariate Cox regression analysis, SI ≥0.66 was a risk factor for MACE. Elevated admission SI was associated with poorer long-term prognosis.read more
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Journal ArticleDOI
Age Shock Index is Superior to Shock Index and Modified Shock Index for Predicting Long-Term Prognosis in Acute Myocardial Infarction.
TL;DR: Age SI alone can identify patients at high risk of death in AMI patients undergoing PCI and is similar to GRACE but better than SI and MSI for predicting all-cause mortality.
Journal ArticleDOI
The prognostic value of shock index for the outcomes of acute myocardial infarction patients: A systematic review and meta-analysis
TL;DR: A systematic review and meta-analysis found that high SI may increase the in-hospital mortality, short-term, and long-term adverse outcomes in AMI patients.
Journal ArticleDOI
Derivation and Validation of Shock Index as a parameter for Predicting Long-term Prognosis in Patients with Acute Coronary Syndrome.
TL;DR: In conclusion, admission SI is an independent predictor of adverse outcome in ACS patients undergoing PCI, and can identify patients at high risk of death.
Journal ArticleDOI
Utility of shock index in 24,636 patients presenting with acute coronary syndrome:
Ayman El-Menyar,Khalid Al Habib,Mohammad Zubaid,Alawi A. Alsheikh-Ali,Kadhim Sulaiman,Wael Almahmeed,Haitham Amin,Ahmed Al-Motarreb,Anhar Ullah,Jassim Al Suwaidi +9 more
TL;DR: Although shock index is the least accurate of the ones tested, its simplicity may argue in favor of its use for early risk stratification in patients with acute coronary syndrome.
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The value of shock index in prediction of cardiogenic shock developed during primary percutaneous coronary intervention
TL;DR: SI has a high predictive accuracy for developing CS during pPCI in STEMI patients and is an excellent exclusion diagnosis index rather than confirmative diagnosis index.
References
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Journal ArticleDOI
TIMI risk score for ST-elevation myocardial infarction: A convenient, bedside, clinical score for risk assessment at presentation: An intravenous nPA for treatment of infarcting myocardium early II trial substudy.
David A. Morrow,Elliott M. Antman,Andrew Charlesworth,Richard Cairns,Sabina A. Murphy,James A. de Lemos,Robert P. Giugliano,Carolyn H. McCabe,Eugene Braunwald +8 more
TL;DR: The TIMI risk score for STEMI captures the majority of prognostic information offered by a full logistic regression model but is more readily used at the bedside, likely to be clinically useful in the triage and management of fibrinolytic-eligible patients with STEMI.
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Relationship between delay in performing direct coronary angioplasty and early clinical outcome in patients with acute myocardial infarction: results from the global use of strategies to open occluded arteries in Acute Coronary Syndromes (GUSTO-IIb) trial.
Peter B. Berger,Stephen G. Ellis,David R. Holmes,Christopher B. Granger,Douglas A. Criger,Amadeo Betriu,Eric J. Topol,Robert M. Califf +7 more
TL;DR: The time to treatment with direct PTCA, as with thrombolytic therapy, is a critical determinant of mortality in acute myocardial infarction.
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Left ventricular remodeling after primary coronary angioplasty: patterns of left ventricular dilation and long-term prognostic implications.
Leonardo Bolognese,Aleksandar N. Neskovic,Guido Parodi,Giampaolo Cerisano,Piergiovanni Buonamici,Giovanni M. Santoro,David Antoniucci +6 more
TL;DR: LV remodeling after successful PTCA occurs despite sustained patency of the infarct-related artery and preservation of regional and global LV function, and the specific pattern of LV dilation is clearly associated with worse long-term clinical outcome.
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Symptom-onset-to-balloon time and mortality in patients with acute myocardial infarction treated by primary angioplasty.
Giuseppe De Luca,Harry Suryapranata,Felix Zijlstra,Arnoud W J van 't Hof,Jan C.A. Hoorntje,A T Marcel Gosselink,Jan Henk Dambrink,Menko-Jan de Boer +7 more
TL;DR: It is shown that, in patients with STEMI treated by primary angioplasty, symptom-onset-to-balloon time, but not door- to-balloons time, is related to mortality, particularly in non-low-risk patients and in the absence of preprocedural anterograde flow.
Journal ArticleDOI
Ten-year trends in the incidence and treatment of cardiogenic shock
Raban Jeger,Dragana Radovanovic,Patrick Hunziker,Matthias Pfisterer,Jean-Christophe Stauffer,Paul Erne,Philip Urban +6 more
TL;DR: This analysis of hospital registry data from Switzerland showed that rates of cardiogenic shock in patients with acute coronary syndromes declined from 1997 to 2006, and predictors of mortality and shock development during hospitalization decreased.