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《Journal of Qingdao University(Medical Sciences)》 2018-03
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EFFECT OF INTRA-AORTIC BALLOON PUMP DURATION ON IN-HOSPITAL OUTCOMES OF PATIENTS WITH ACUTE CORONARY SYNDROME

YANG Lu;YAN Rongqiang;LIU Gang;WU Guoliang;WANG Xiaoteng;YU Zhongxiang;Department of Cardiology,Qingdao Municipal Hospital of Qingdao University;  
Objective To investigate the effect of intra-aortic balloon pump(IABP)duration on the in-hospital outcomes of patients with acute coronary syndrome(ACS)after percutaneous coronary intervention(PCI),as well as independent risk factors for hospital death. Methods A retrospective analysis was performed for the clinical data of 82 ACS patients who underwent PCI and IABP,and according to the IABP duration,these patients were divided into group A with 23 patients(≤24 h)and group B with 59 patients(24 h).The two groups were compared in terms of hospital death rate and the incidence rate of adverse events.A multivariate logistic regression analysis was performed to identify the independent risk factors for hospital death.Results There was a significant difference in hemoglobin loss between groups A and B((5.83±5.32)g/L vs(12.93±15.08)g/L,t=3.151,P0.05).There were no significant differences between the two groups in hospital death rate,incidence rates of limb ischemia and stent thrombosis after surgery,and postoperative infection rate(P0.05).Old age,female sex,smoking,presence of cardiogenic shock,an elevated creatinine level,and a reduction in left ventricular ejection fraction(LVEF)were independent risk factors for hospital death in ACS patients after PCI. Conclusion Prolonged IABP duration may increase the risk of postoperative bleeding,but it does not increase hospital death rate and the incidence rates of postoperative limb ischemia,stent thrombosis,and infection.Age,sex,smoking,cardiogenic shock,creatinine level,and LVEF can be used to predict the short-term prognosis of ACS patients.
【CateGory Index】: R541.4
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