Zagazig University Digital Repository
Home
Thesis & Publications
All Contents
Publications
Thesis
Graduation Projects
Research Area
Research Area Reports
Search by Research Area
Universities Thesis
ACADEMIC Links
ACADEMIC RESEARCH
Zagazig University Authors
Africa Research Statistics
Google Scholar
Research Gate
Researcher ID
CrossRef
Incidence and outcome of peri-procedural cardiogenic shock: results from the international Euro Heart Survey PCI registry
Faculty
Medicine
Year:
2020
Type of Publication:
ZU Hosted
Pages:
Authors:
Aly Mohamed Abdelrahman Saad
Staff Zu Site
Abstract In Staff Site
Journal:
European Heart Journal: Acute Cardiovascular Care OXFORD University Press
Volume:
Keywords :
Incidence , outcome , peri-procedural cardiogenic shock: results
Abstract:
Abstract Background There is a large body of literature on acute myocardial infarction complicated by cardiogenic shock. However, very little is known about patients who are initially haemodynamically stable and develop cardiogenic shock during percutaneous coronary intervention. Methods A total of 47,407 consecutive patients were prospectively enrolled in the PCI Registry of the Euro Heart Survey Programme. We analysed interventions with peri-procedural complications that were classified as ‘shock induced by procedure’ on the case report form. Clinical and procedural characteristics as well as hospital outcomes of haemodynamically stable patients who developed cardiogenic shock during percutaneous coronary intervention were evaluated. Patients with haemodynamic instability at presentation prior to intervention were excluded. Results A total of 68 patients (0.2%) developed cardiogenic shock as a complication of percutaneous coronary intervention. The majority of cases comprised acute coronary syndrome (60.3%) with complex lesions (93.1%). Most patients had multi-vessel disease (82.1%) and an ejection fraction less than 40% (58.1%). In the multivariate analysis, left main disease (odds ratio (OR) 9.51), ST-segment elevation myocardial infarction (OR 5.31) and multi-vessel disease without left main involvement (OR 3.32) were the strongest independent predictors of peri-procedural cardiogenic shock. Among these patients procedural success was low (66.1%) and in-hospital mortality was very high (39.7%). Conclusions In this real-world registry the rate of haemodynamically stable patients who developed cardiogenic shock during percutaneous coronary intervention was very low. Patients at a priori high risk were more likely to be affected by this complication. The in-hospital mortality rate of these patients was very high.
Author Related Publications
Aly Mohamed Abdelrahman Saad, "The prevalence of abnormal glucose regulation in patients with coronary artery disease across Europe The Euro Heart Survey on diabetes and the heart", Elsevier, 2004
More
Aly Mohamed Abdelrahman Saad, "Treatment and Health Status in Patients with Proven Coronary Artery Disease, but Ineligible for Revascularization. A Report from the Euro Heart Survey on Revascularization", Sage, 2006
More
Aly Mohamed Abdelrahman Saad, "Pharmacological treatment and perceived health status during 1-year follow up in patients diagnosed with coronary artery disease, but ineligible for revascularization: Results from the Euro Heart Survey on coronary revascularization", Sage, 2006
More
Aly Mohamed Abdelrahman Saad, "A 1-year follow up in patients diagnosed with coronary artery disease, but ineligible for revascularization. Results from The Euro Heart Survey on Coronary Revascularization", Oxford University Press, 2006
More
Aly Mohamed Abdelrahman Saad, "Atrial fibrillation management: a prospective survey in ESC Member Countries", Oxford University Press, 2005
More
Department Related Publications
Ahmed Shafea Mahmoud Morsy, "تاثير توسيع الصمام الميترالي بالقسطرة البالةنية على ارتجاع الوظيفي للصمام ثلاثى الشرفات وارتفاع ضغط الشريان الرئوى", مجلة جامعة الزقازيق الطبية, 2000
More
Mohamed Ibrahim Mustafa AlAwadi, "القيمة التنبؤية لقصور الشريان التاجى الخفى فى مرضى احتشاء عضلة القلب الحاد اثناء فترة الاقامة بالمستشفى", مجلة جامعة الزقازيق الطبية, 2000
More
Mohamed Ibrahim Mustafa AlAwadi, "ضغوط الاكسدة ونشاط مضادات الاكسدة فى مرضى البول السكرى الغير معتمد على الانسولين ويعانون من متلازمة الشريان التاجى الغير مستقرة", مجلة جامعة الزقازيق الطبية, 1999
More
Salwa Mohamed Mohamed Elsayed Ghoniem, "قصور الشريان التاجى والمختفى فى مرضى السكر الغير معتمدين على الانسولين فى وجود او عدم وجود زلال البول السكرى", مجلة القلب المصرية, 2000
More
Tarek Abdelmoniem Abdelaziz, "Catechin protects against oxidative stress and inflammatory-mediated cardiotoxicity in adriamycin-treated rats", Springer, 2012
More
جامعة المنصورة
جامعة الاسكندرية
جامعة القاهرة
جامعة سوهاج
جامعة الفيوم
جامعة بنها
جامعة دمياط
جامعة بورسعيد
جامعة حلوان
جامعة السويس
شراقوة
جامعة المنيا
جامعة دمنهور
جامعة المنوفية
جامعة أسوان
جامعة جنوب الوادى
جامعة قناة السويس
جامعة عين شمس
جامعة أسيوط
جامعة كفر الشيخ
جامعة السادات
جامعة طنطا
جامعة بنى سويف