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Most patients with ST-segment elevation myocardial infarction (STEMI) undergo cardiac catheterization and percutaneous coronary intervention (PPCI)
.
In the past few decades, many complications related to percutaneous coronary intervention (PCI) have decreased, but strokes related to PCI have not decreased
Myocardial infarction stroke
Recently, the heart blood vessels published a research article on the disease areas authoritative magazine JAHA, the researchers aimed to assess the incidence during the period from 2003 to 2019 four large regional projects STEMI stroke, its causes and predictive factors
.
The researchers also assessed the long-term effects of stroke on patients' 5-year mortality
Blood vessel
A total of 12,868 patients developed STEMI during the study period
.
Ninety-eight (0.
In the multiple regression analysis, age (increased by 10 years) (odds ratio [OR] is 1.
32; 95% CI is 1.
10-1.
58; P value = 0.
003) and pre-intervention cardiogenic shock (OR is 2.
03; (95% CI) 1.
03-3.
78; P=0.
032)) is associated with a higher risk of in-hospital stroke
.
Nosocomial stroke was independently associated with the risk of increased 5-year mortality (hazard ratio 2.
Thus, in patients with STEMI, the risk of stroke is very low (0.
76%)
.
Stroke in patients with STEMI is associated with significantly higher in-hospital mortality (18%) and long-term mortality (35% at 5 years)
In patients with STEMI, the risk of stroke is very low (0.
Original source:
Michael Megaly,et al.
Incidence and Long-Term Outcomes of Stroke in Patients Presenting With ST-Segment Elevation-Myocardial Infarction: Insights From the Midwest STEMI Consortium in this message
