Acute cardiac care & resuscitation
Percutaneous coronary intervention for ST-elevation myocardial infarction complicated by cardiogenic shock in a super-aging society
Main finding · In-hospital mortalityResult — go to the resultAdjusted odds ratio 0.508 95% CI 0.347–0.744Authors' conclusion
In Japan, PCI was effective in reducing in-hospital cardiac death in elderly patients with STEMICS.
Study context
- Population
- Patients with STEMI complicated by cardiogenic shock in the Japan acute myocardial infarction (AMI) Registry, hospitalized 2011–2016 (median age 72 years)
- Participants
- 2,760 patients
- Exposure
- Percutaneous coronary intervention (PCI) vs no PCI
- PCIn = 2,396
- No-PCIn = 364reference
- Outcome
- In-hospital mortality
Methodological detailsnationwide registry
- Nationwide registry
Main finding
As reported in the abstract
Adjusted odds ratio
0.508
95% CI 0.347–0.744
By group
PCI vs No-PCI
adjusted OR 0.508 (95% CI 0.347–0.744)
Observational data: associations, not effects.
Further findings
| Outcome | Adjusted OR (95% CI) | |
|---|---|---|
| In-hospital cardiac death, patients aged ≥80 years (subgroup, n = 789) | 0.524 (0.281–0.975) | |
| In-hospital mortality, patients aged ≥80 years (subgroup, n = 789) | 0.564 (0.300–1.050) | |
| 0.20.5125Adjusted odds ratio (log scale) |
Overall STEMICS cohort
- Mechanical circulatory support use
- 69.3%
- In-hospital mortality
- 34.6%
Original publication
Percutaneous coronary intervention for ST-elevation myocardial infarction complicated by cardiogenic shock in a super-aging society. Eur Heart J Acute Cardiovasc Care. Published 19 September 2023. doi:10.
Summarised from the published abstract; every number is checked against it