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《Medical Recapitulate》 2006-21
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Factor Analysis about Prognosis of Cardiogenic Shock Complicated by Acute Myocardial Infarction(AMI)

LIN Hong,WANG Feng,LIN Ying-zhong,et al.(Department of Cardiology,The People′s Hospital of Guangxi Autonomous,Nanning 530021,China)  
Objective To investigate the prognosis factors of cardiogenic shock complicated by acute myocardial infarction(AMI).Methods 135 patients with AMI were included in this analysis,which was divided into shock group having 53 cases (A) and non-shock group having 82 cases(B) according to have the cardiogenic shock or not.Compared some indexes in these two groups in the risk factors,clinical features,interventional therapy,incidence rate of complications and recent case fatality rate.Results There are more patients with hypertension,multivessel coronary disease and whose age are above 70 years in group A.In group A patients often underwent intra-aortic balloon counterpulsation(IABP).In addition,patients in group A had a higer proportion of acute pulmonary edema,pneumonia and acute renal failure than those in group B.There was no difference in in-hospital mortality between two groups.Conclusions Patients with AMI complicating cardiogenic shock are more likely have great age,hypertension and multivessel coronary disease,who are easy to have acute pulmonary edema,peneumonia and acute renal failure.If we use IABP to achieve revascularization,its prognosis can be promoted.
【CateGory Index】: R542.22
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