Creation of prognostic model of individual risk of postoperative mortality in patients with acute myocardial infarction in case of emergency coronary revascularization

June 21, 2017
857
Resume

Early postoperative mortality factors in patients with acute myocardial infarction after emergency coronary revascularisation are presented in the article. The model of individual risk is offered. It was revealed the 12.4% of early postoperative mortality during STEMI type of acute myocardial infarction after emergency coronary revascularization, caused by acute heart failure (56.2%), cardiogenic shock (31.6%) and acute mitral regurgitation (12.5%). It has been proven that low reduced ejection fraction, venous grafts, kidney disfunction with low glomerular rate filtration and pulmonary hypertension with pressure >55 mm Hg (in all cases p<0.05) are reliable early postoperative mortality factors. It has been shown that intracoronary shunts application, internal thoracic artery grafts and complete revascularisation improve survival in patients with STEMI type of acute myocardial infarction (in all cases p<0.05). The individual prognostic risk model for calculation of early postoperative mortality was created.