PMID- 27347008 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20160627 LR - 20200930 IS - 1759-1104 (Print) IS - 1759-1104 (Electronic) IS - 1759-1104 (Linking) VI - 8 IP - 2 DP - 2016 TI - Prognostic factors of in-hospital mortality in all comers with ST elevation myocardial infarction undergoing primary percutaneous coronary intervention. PG - 13-7 LID - 10.1136/heartasia-2015-010715 [doi] AB - BACKGROUND: The prognostic factors of in-hospital mortality in all comers and unselected patients with ST elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PCI) have not been well established. OBJECTIVE: To identify the predictive factors of in-hospital mortality in patients with STEMI undergoing primary PCI in a tertiary heart centre. METHODS: Between January 2008 and December 2011, all patients with STEMI undergoing primary PCI were retrospectively included in this study. Baseline characteristics and angiographic data were reviewed and recorded. The study endpoint was all-cause in-hospital mortality. RESULTS: Of the 541 patients included in the study, 63 (11.6%) died during hospitalisation. Cardiogenic shock at admission was recorded in 301 patients (55.6%) and 424 patients (78%) had multivessel disease. Median door-to-device time was 65 min. After adjustment for baseline variables, the factors associated with in-hospital mortality included age >60 years (OR 2.98, 95% CI 1.17 to 7.05; p=0.01), left ventricular ejection fraction <40% (OR 2.53, 95% CI 1.20 to 5.36; p=0.02), and final TIMI flow grade 0/1 (OR 20.55, 95% CI 3.49 to 120.94; p=0.001). CONCLUSIONS: Age, left ventricular function and final TIMI flow are significant predictors of adverse outcomes in unselected patients with STEMI undergoing primary PCI. FAU - Kiatchoosakun, Songsak AU - Kiatchoosakun S AD - Division of Cardiology, Department of Medicine, Faculty of Medicine and Queen Sirikit Heart Center of the Northeast, Khon Kaen University , Khon Kaen , Thailand. FAU - Wongwipaporn, Chaiyasith AU - Wongwipaporn C AD - Division of Cardiology, Department of Medicine, Faculty of Medicine and Queen Sirikit Heart Center of the Northeast, Khon Kaen University , Khon Kaen , Thailand. FAU - Pussadhamma, Burabha AU - Pussadhamma B AD - Division of Cardiology, Department of Medicine, Faculty of Medicine and Queen Sirikit Heart Center of the Northeast, Khon Kaen University , Khon Kaen , Thailand. LA - eng PT - Journal Article DEP - 20160614 PL - England TA - Heart Asia JT - Heart Asia JID - 101542742 PMC - PMC4916565 OTO - NOTNLM OT - INTERVENTIONAL CARDIOLOGY OT - MYOCARDIAL ISCHAEMIA AND INFARCTION (IHD) EDAT- 2016/06/28 06:00 MHDA- 2016/06/28 06:01 PMCR- 2016/06/14 CRDT- 2016/06/28 06:00 PHST- 2015/12/08 00:00 [received] PHST- 2016/05/26 00:00 [revised] PHST- 2016/05/27 00:00 [accepted] PHST- 2016/06/28 06:00 [entrez] PHST- 2016/06/28 06:00 [pubmed] PHST- 2016/06/28 06:01 [medline] PHST- 2016/06/14 00:00 [pmc-release] AID - heartasia-2015-010715 [pii] AID - 10.1136/heartasia-2015-010715 [doi] PST - epublish SO - Heart Asia. 2016 Jun 14;8(2):13-7. doi: 10.1136/heartasia-2015-010715. eCollection 2016.