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Integrating invasive hemodynamic parameters into risk stratification of acute myocardial infarction and cardiogenic shock
Author(s) -
Giustino Gennaro,
Dangas George D.
Publication year - 2017
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.27309
Subject(s) - medicine , cardiogenic shock , preload , cardiology , myocardial infarction , hemodynamics , timi , blood pressure , killip class , shock (circulatory) , percutaneous coronary intervention
Key Points A ratio of systolic blood pressure over left ventricle end‐diastolic pressure (SBP/LVEDP) ≤4 identifies patients with ST‐elevation myocardial infarction (STEMI) at greater risk of in‐hospital mortality or that may require the use of mechanical circulatory support (MCS). The predictive performance of the SBP/LVEDP ratio was comparable to non‐invasive hemodynamic parameters (the shock index and the modified shock index) and established clinical risk stratification tools (the TIMI risk score). Alongside established clinical risk factors, invasive hemodynamic parameters may help in identifying STEMI patients who may benefit from early MCS.