STEMI患者PCI术后一年内发生MACE的危险因素分析

目的 探讨急性ST段抬高型心肌梗死(ST-segment elevation myocardial infarction,STEMI)患者经皮冠状动脉介入治疗(percutaneous coronary Intervention,PCI)后1年内发生主要不良心血管事件(major adverse cardiovascu...

Analysis of risk factors for MACE in STEMI patients within one year after PCI

Objective To investigate the risk factors of major adverse cardiovascular events (MACE) in patients with acute ST-segment elevation myocardial infarction (STEMI) within one year after percutaneous coronary intervention (PCI).Methods Patients who were diagnosed with acute STEMI and received emergency PCI at the Affiliated Hospital of Yan'an University from November 2018 to November 2019 were retrospectively analyzed.The clinical data and laboratory data of these patients were collected and the MACE was recorded by telephone and outpatient clinics, and followed up for one year in January, March, June, and December.According to whether MACE occurred,patients were divided into MACE group (66 cases) and non-MACE group (94 cases).Use statistical methods such as t test, χ² test,logistic regression to analyze the data.Results After one year of follow-up,a total of 160 patients were followed up,of which 66 patients had MACE,and the incidence was 41.5%.Logistic regression analysis showed that NYHA heart function grade ≥3,smoking,hyperlipidemia,diabetes,PLT and serum NT-proBNP,Scr,IMA (OR:1.010～4.197,all P＜0.05) levelswere risk factors for MACE in SIEMI patients after PCI,including hyperlipidemia (B=1.258; OR=1.279; 95%CI:1.137~1.567),NT-proBNP level(B=0.972; OR=4.197; 95%CI:1.973~10.362),smoking (B=0.846; OR=2.330; 95%CI:1.125~4.824) were the main risk factors.Conclusion Hyperlipidemia,NT-proBNP and smoking are the main risk factors for MACE after emergency PCI in STEMI patients.