evaluation of the association between the modified shock index and one-year mortality in the patient with acute myocardial infarction under coronary angioplasty

Abstract

Myocardial infarction with ST segment elevation is the most deadly type of acute illness. The evaluation of this evaluation for short-term and long-term prognosis is more important day by day. The purpose of this study was to investigate the relationship between modified shock index and one-year mortality with acute stroke in patients undergoing primary coronary angioplasty. Method: Patients diagnosed with STEMI who underwent PPCI from 1.1.97 to 29.12.98 at Shahid Madani Center in Tabriz were included in the study. Then, using the appropriate checklist, patients' data were extracted and MSI was calculated. Finally, patients were divided into two groups based on having or not having MACE and the characteristics were compared. Results: The median of both systolic blood pressure (SBP) and diastolic blood pressure (DBP) before and after PPCI was lower among patients with MACE than patients without MACE (p<0.001). There was no significant difference in terms of heart rate (HR) before and after PPCI between the two groups of patients (p=0.132 and p=0.133, respectively). median MSI before and after PPCI was significantly higher among patients with MACE compared to other patients (p<0.001). There was no significant difference in the type of MI between the patients of the two groups (p=0.381). Among patients with other MACE, three vessels were more common (40.2% of cases). The prevalence of LM involvement was higher among patients with positive MACE (n=9 vs. 2, p=0.009).