Shah Zeb, Al Fazir Omar, Rosli Bin Mohammad Ali, Afrah Yousaf Haroon, Kumara Gurupparan, Ng Yau Piow.
Outcomes in patients with cardiogenic shock following primary percutaneous coronary intervention.
Pak Heart J Jan ;51(3):196-203.

Objective: To compare the outcome of percutaneous coronary intervention with or without cardiogenic shock in acute myocardial infarction. Methodology: This cross sectional study was conducted from 1st January 2015 to 31st December 2016. All consecutive STEMI patients transferred from Hospital Kualalumpur to IJN via HISNET for Primary percutaneous intervention were included. They were divided into cardiogenic shock (CS) and non-cardiogenic shock (Non-CS) groups. SPSS Version 24.0 was used for study analysis. Results: A total of 277 were included. Of the study population, 247(89%) were innon- cardiogenic shock while 30 (11%) were in cardiogenic shock. Most of baseline characteristics were similar. Diabetes was present in 16 (53.3%)patients in CS and 93 (38%)patients in Non CS group (0.038). Mean first medical contact (FMC) to transfer time was 32 minutes for Non CS and 45 minutes in CS group (p =0.023). Successful PPCI was performed in 98% group as compare to 87% in CS group, (p=0.015). In-hospital mortality was 7(23%) in CS group and 6 (2%) in non CS group (p <0.001). One year mortality was 17 (7%) for non CS as compare to (27%) in CS group (p<0.05). Post procedure haemoglobin, number of inotropes needed at admission, baseline GFR, baseline PH were strong predictors of mortality in cardiogenic shock patients. Conclusion: Despite of similarities in most of risk factors, mortality rate of acute myocardial infarction with Cardiogenic Shock was higher than non-cardiogenic shock.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com