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Distribution and 24-hour transition of SCAI shock stages and their association with 30-day mortality in acute myocardial infarction
The Society for Cardiovascular Angiography and Interventions (SCAI) shock classification has been shown to predict mortality in acute myocardial infarction (AMI). However, data on the transition of SCAI stages and their association with mortality after AMI are limited. All patients with AMI admitted...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10508443/ https://www.ncbi.nlm.nih.gov/pubmed/37713835 http://dx.doi.org/10.1097/MD.0000000000034689 |
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author | Pham, Hung Manh Van, Hanh Duc Hoang, Long Bao Phan, Phong Dinh Tran, Vu Hoang |
author_facet | Pham, Hung Manh Van, Hanh Duc Hoang, Long Bao Phan, Phong Dinh Tran, Vu Hoang |
author_sort | Pham, Hung Manh |
collection | PubMed |
description | The Society for Cardiovascular Angiography and Interventions (SCAI) shock classification has been shown to predict mortality in acute myocardial infarction (AMI). However, data on the transition of SCAI stages and their association with mortality after AMI are limited. All patients with AMI admitted to Vietnam National Heart Institute between August 2022 and February 2023 were classified into SCAI stages A, B, and C/D/E at admission and were reevaluated in 24 hours. We used Kaplan–Meier estimate and multivariable Cox regression analysis to assess the association between SCAI stages transition and 30-day mortality. We included 139 patients (median age 69 years, 29.5% female). On admission, 50.4%, 20.1%, and 29.5% of patients were classified as SCAI stage A, B, and C/D/E, respectively. The proportion of patients whose SCAI stage improved, remained stable, or worsened after 24 hours was 14.4%, 66.2%, and 19.4%, respectively. The 30-day mortality in patients with initial SCAI stages A, B, and C/D/E on admission was 2.9%, 21.4%, and 61.0%, respectively (P < .001). The 30-day mortality was 2.4% for patients with baseline SCAI stage A/B who remained unchanged or improved, 30.0% for patients with baseline SCAI stage C/D/E who remained unchanged or improved, and 92.6% for patients with SCAI stage B/C/D/E who worsened at 24 hours after admission (log-rank P < .001). In patients with AMI, evaluating the SCAI stage shock stage on admission and reevaluating after 24 hours added more information about 30-day mortality. |
format | Online Article Text |
id | pubmed-10508443 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-105084432023-09-20 Distribution and 24-hour transition of SCAI shock stages and their association with 30-day mortality in acute myocardial infarction Pham, Hung Manh Van, Hanh Duc Hoang, Long Bao Phan, Phong Dinh Tran, Vu Hoang Medicine (Baltimore) Research Article: Observational Study The Society for Cardiovascular Angiography and Interventions (SCAI) shock classification has been shown to predict mortality in acute myocardial infarction (AMI). However, data on the transition of SCAI stages and their association with mortality after AMI are limited. All patients with AMI admitted to Vietnam National Heart Institute between August 2022 and February 2023 were classified into SCAI stages A, B, and C/D/E at admission and were reevaluated in 24 hours. We used Kaplan–Meier estimate and multivariable Cox regression analysis to assess the association between SCAI stages transition and 30-day mortality. We included 139 patients (median age 69 years, 29.5% female). On admission, 50.4%, 20.1%, and 29.5% of patients were classified as SCAI stage A, B, and C/D/E, respectively. The proportion of patients whose SCAI stage improved, remained stable, or worsened after 24 hours was 14.4%, 66.2%, and 19.4%, respectively. The 30-day mortality in patients with initial SCAI stages A, B, and C/D/E on admission was 2.9%, 21.4%, and 61.0%, respectively (P < .001). The 30-day mortality was 2.4% for patients with baseline SCAI stage A/B who remained unchanged or improved, 30.0% for patients with baseline SCAI stage C/D/E who remained unchanged or improved, and 92.6% for patients with SCAI stage B/C/D/E who worsened at 24 hours after admission (log-rank P < .001). In patients with AMI, evaluating the SCAI stage shock stage on admission and reevaluating after 24 hours added more information about 30-day mortality. Lippincott Williams & Wilkins 2023-09-15 /pmc/articles/PMC10508443/ /pubmed/37713835 http://dx.doi.org/10.1097/MD.0000000000034689 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC) (https://creativecommons.org/licenses/by-nc/4.0/) , where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. |
spellingShingle | Research Article: Observational Study Pham, Hung Manh Van, Hanh Duc Hoang, Long Bao Phan, Phong Dinh Tran, Vu Hoang Distribution and 24-hour transition of SCAI shock stages and their association with 30-day mortality in acute myocardial infarction |
title | Distribution and 24-hour transition of SCAI shock stages and their association with 30-day mortality in acute myocardial infarction |
title_full | Distribution and 24-hour transition of SCAI shock stages and their association with 30-day mortality in acute myocardial infarction |
title_fullStr | Distribution and 24-hour transition of SCAI shock stages and their association with 30-day mortality in acute myocardial infarction |
title_full_unstemmed | Distribution and 24-hour transition of SCAI shock stages and their association with 30-day mortality in acute myocardial infarction |
title_short | Distribution and 24-hour transition of SCAI shock stages and their association with 30-day mortality in acute myocardial infarction |
title_sort | distribution and 24-hour transition of scai shock stages and their association with 30-day mortality in acute myocardial infarction |
topic | Research Article: Observational Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10508443/ https://www.ncbi.nlm.nih.gov/pubmed/37713835 http://dx.doi.org/10.1097/MD.0000000000034689 |
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