PMID- 28723829
OWN - NLM
STAT- MEDLINE
DCOM- 20180611
LR  - 20180611
IS  - 1473-5830 (Electronic)
IS  - 0954-6928 (Linking)
VI  - 28
IP  - 7
DP  - 2017 Nov
TI  - Prognostic implication of early ventricular fibrillation among patients with ST 
      elevation myocardial infarction.
PG  - 570-576
LID - 10.1097/MCA.0000000000000532 [doi]
AB  - OBJECTIVE: The aim of this study was to analyze the prognosis of patients 
      presenting early ventricular fibrillation (VF) in the setting of ST elevation 
      myocardial infarction (STEMI). PATIENTS AND METHODS: Among patients included in 
      the ARIAM (Analisis del Retraso en el Infarto Agudo de Miocardio) registry with 
      the diagnosis of STEMI, those who received primary revascularization and were 
      admitted in the first 12 h were analyzed retrospectively. RESULTS: From January 
      2007 to January 2012, 8340 patients were included in the STEMI cohort and 680 
      (8.2%) of them presented with VF before admission to the ICU (VF). This group 
      comprised younger patients with fewer comorbidities. They received more often 
      primary angioplasty (33.7 vs. 24.9%; P<0.001), had more prevalence of Killip 
      class greater than or equal to 2 at admission (37.5 vs. 17.8%; P<0.001), and 
      suffered more often cardiogenic shock (18.5 vs. 5.9%, P<0.001). By logistic 
      regression analysis, VF was associated with a greater in-hospital mortality [odds 
      rate (OR): 2.08, 95% confidence interval (CI): 1.57-2.81, P<0.001]. After a 
      propensity score matching process, VF was associated with in-hospital mortality 
      (OR: 1.53, 95% CI: 1.05-2.25, P=0.028). However, when analyzing patients treated 
      by primary angioplasty, the mortality was not significantly related to VF (OR: 
      0.86, 95% CI: 0.45-1.61, P=0.628). CONCLUSION: Our results show that VF before 
      ICU admission was an independent predictor of in-hospital outcome in a cohort of 
      patients in whom fibrinolysis was the most used revascularization therapy. 
      However, this prognostic value was not found in patients treated with primary 
      angioplasty.
FAU - Medina-Rodriguez, Kristel E
AU  - Medina-Rodriguez KE
AD  - aDepartment of Cardiology, University Hospital Virgen Macarena, Sevilla bCritical 
      Care Service, University Hospital Virgen de la Victoria, Malaga cCritical Care 
      Unit, Hospital de Antequera dCritical Care Service, University Hospital Regional 
      de Malaga eCritical Care Service, University Hospital Costa del Sol, Malaga 
      fCritical Care Service, University Hospital Jerez gCritical Care Service, 
      University Hospital Puerto Real, Cadiz hCritical Care Service, University 
      Hospital Reina Sofia, Cordoba iCritical Care Service, University Hospital Virgen 
      de las Nieves, Granada, Spain.
FAU - Almendro-Delia, Manuel
AU  - Almendro-Delia M
FAU - Garcia-Alcantara, Angel
AU  - Garcia-Alcantara A
FAU - Arias-Garrido, Jose J
AU  - Arias-Garrido JJ
FAU - Rodriguez-Yanez, Juan C
AU  - Rodriguez-Yanez JC
FAU - Alonso-Munoz, Gemma
AU  - Alonso-Munoz G
FAU - de la Chica-Ruiz-Ruano, Rafael
AU  - de la Chica-Ruiz-Ruano R
FAU - Reina-Toral, Antonio
AU  - Reina-Toral A
FAU - Varela-Lopez, Antonio
AU  - Varela-Lopez A
FAU - Arboleda-Sanchez, Jose A
AU  - Arboleda-Sanchez JA
FAU - Poullet-Brea, Ana M
AU  - Poullet-Brea AM
FAU - Zaya-Ganfo, Benito
AU  - Zaya-Ganfo B
FAU - Butron-Calderon, Michel
AU  - Butron-Calderon M
FAU - Cristo-Ropero, Maria J
AU  - Cristo-Ropero MJ
FAU - Hidalgo-Urbano, Rafael
AU  - Hidalgo-Urbano R
FAU - Garcia-Rubira, Juan C
AU  - Garcia-Rubira JC
CN  - Group SCA Plataforma Ariam-Andalucia
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Observational Study
PL  - England
TA  - Coron Artery Dis
JT  - Coronary artery disease
JID - 9011445
SB  - IM
MH  - Aged
MH  - Angioplasty, Balloon, Coronary
MH  - Chi-Square Distribution
MH  - Comorbidity
MH  - Female
MH  - Hospital Mortality
MH  - Humans
MH  - Intensive Care Units
MH  - Logistic Models
MH  - Male
MH  - Middle Aged
MH  - Odds Ratio
MH  - Patient Admission
MH  - Percutaneous Coronary Intervention
MH  - Prevalence
MH  - Propensity Score
MH  - Registries
MH  - Retrospective Studies
MH  - Risk Factors
MH  - ST Elevation Myocardial Infarction/diagnosis/*epidemiology/mortality/therapy
MH  - Shock, Cardiogenic/epidemiology
MH  - Spain/epidemiology
MH  - Thrombolytic Therapy
MH  - Time Factors
MH  - Treatment Outcome
MH  - Ventricular Fibrillation/diagnosis/*epidemiology/mortality
EDAT- 2017/07/21 06:00
MHDA- 2018/06/12 06:00
CRDT- 2017/07/21 06:00
PHST- 2017/07/21 06:00 [pubmed]
PHST- 2018/06/12 06:00 [medline]
PHST- 2017/07/21 06:00 [entrez]
AID - 10.1097/MCA.0000000000000532 [doi]
PST - ppublish
SO  - Coron Artery Dis. 2017 Nov;28(7):570-576. doi: 10.1097/MCA.0000000000000532.