非 ST 段抬高型心肌梗死患者行早期冠状动脉造影术后院内心搏骤停的流行病学。
Epidemiology of in-hospital cardiac arrest complicating non-ST-segment elevation myocardial infarction receiving early coronary angiography.
机构信息
Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN; Division of Pulmonary and Critical Care Medicine, Department of Medicine, Mayo Clinic, Rochester, MN; Center for Clinical and Translational Science, Mayo Clinic Graduate School of Biomedical Sciences, Rochester, MN.
Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.
出版信息
Am Heart J. 2020 May;223:59-64. doi: 10.1016/j.ahj.2020.01.016. Epub 2020 Jan 29.
In the period between 2000 and 2014, 584,704 admissions with non-ST-segment elevation myocardial infarction that received early coronary angiography (day zero) were identified from the National Inpatient Sample. In-hospital cardiac arrest was noted in 4349 (0.8%), of which ~47% were from ventricular arrhythmias and ~90% of occurred within ≤4 days. Non-ST-segment elevation myocardial infarction admissions with in-hospital cardiac arrest had higher in-hospital mortality compared to those without (61% vs. 1.6%) with an unchanged temporal trend of in-hospital cardiac arrest rates (adjusted odds ratio 1.29 [95% confidence interval 0.73-2.28]) in 2014 compared to 2000).
在 2000 年至 2014 年期间，从全国住院患者样本中确定了 584704 例接受早期冠状动脉造影（零天）的非 ST 段抬高型心肌梗死患者。在院内发生心脏骤停 4349 例（0.8%），其中约 47%来自室性心律失常，约 90%发生在 ≤4 天内。与无院内心脏骤停的患者相比，发生院内心脏骤停的非 ST 段抬高型心肌梗死患者的院内死亡率更高（61% vs. 1.6%），而院内心脏骤停发生率的时间趋势保持不变（2014 年与 2000 年相比，调整后的优势比为 1.29[95%置信区间 0.73-2.28]）。
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