Prognostic implications of elevated pulmonary artery systolic pressure on 6-month mortality in elderly patients with acute myocardial infarction

Emergency and critical care medicine Pub Date : 2022-11-11 DOI:10.1097/EC9.0000000000000035

Sheng-ji Wang, Yonggang Lian, Hongfei Wang, Xiao-Le Fan, Haiying Zhao

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引用次数: 1

Abstract

Abstract Background Pulmonary artery systolic pressure (PASP) has often been evaluated as an indicator of heart failure, but the relationship between PASP and the prognosis of elderly patients with acute myocardial infarction (AMI) is not well understood. Methods The medical data of 3460 hospitalized elderly patients diagnosed with AMI between January 2013 and June 2018 were reviewed. PASP was calculated using transthoracic color Doppler ultrasonography. Patients were grouped according to their admission PASP results as follows: Group A, PASP ≤30 mmHg; Group B, 30 mmHg 34 mmHg had a sensitivity of 62.3% and specificity of 65.7% for predicting 6-month all-cause death after AMI. Conclusion PASP at admission is a useful marker for predicting short-term mortality in elderly patients with AMI. This finding could be used to help identify high-risk patients and make appropriate clinical decisions.

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肺动脉收缩压升高对老年急性心肌梗死患者6个月死亡率的预后影响

摘要背景肺动脉收缩压(PASP)常被评价为心衰的一项指标，但PASP与老年急性心肌梗死(AMI)患者预后的关系尚不清楚。方法回顾性分析2013年1月至2018年6月3460例老年AMI住院患者的医疗资料。采用经胸彩色多普勒超声计算PASP。根据入院PASP结果分组:A组，PASP≤30 mmHg;B组30mmhg 34 mmHg预测AMI后6个月全因死亡的敏感性为62.3%，特异性为65.7%。结论PASP是预测老年AMI患者短期死亡率的有效指标。这一发现可以用来帮助识别高危患者并做出适当的临床决策。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Emergency and critical care medicine

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