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Predictive Value of Noninvasive Cardiac Function Monitoring Combined With GRACE Score for Short‐Term Outcomes in Patients With ST‐Segment Elevation Myocardial Infarction

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Publicado en:Annals of Noninvasive Electrocardiology (Online) vol. 30, no. 2 (Mar 1, 2025)
Autor principal: Xin, Jiayan
Otros Autores: Liu, Yingwu, Ning, Meng, Zhang, Chong
Publicado:
John Wiley & Sons, Inc.
Materias:
Cerebral infarction
Hemodynamics
Regression analysis
Cardiac arrest
Mortality
Vital signs
Heart failure
Electrocardiography
Indicators
Medical laboratories
Myocardial infarction
Monitoring
Risk
Prediction models
Stroke volume
Cardiology
Statistical analysis
Patients
Cardiac arrhythmia
Heart attacks
Multivariate analysis
Cardiovascular disease
Hospitals
Variables
Cardiac output
Predictions
Enzymes
Cardiac function
Acceso en línea:Citation/Abstract
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Resumen:ABSTRACT Objective To investigate the correlation between non‐invasive cardiac function monitoring indexes and recent adverse prognosis in patients with STEMI. The hemodynamic indexes with high diagnostic value were selected to construct a new risk prediction model combined with GRACE scores, and the efficiency of the new prediction model was evaluated. Methods STEMI patients who met the inclusion and exclusion criteria were selected. All patients were followed for 6 months of major adverse cardiovascular events (MACE). The non‐invasive cardiac function monitoring indexes were analyzed by univariate and multivariate logistic regression. The ROC curve was used to evaluate the accuracy of non‐invasive cardiac function indexes predicting MACE. Then, a new risk prediction model was established and its prediction efficiency was evaluated by ROC curve. Results Patients were divided into MACE group (N = 69) and non‐MACE group (N = 173), stroke volume (SV), cardiac output (CO), cardiac index (CI), cardiac time intervals (CTI), early diastolic filling rate (EDFR), end‐diastolic volume (EDV), and systemic vascular resistance (SVR) were found to be significant predictors of recent MACE events in STEMI patients. Multivariate logistic regression analysis confirmed that indicators of noninvasive cardiac function were independent predictors. In addition, the combination of SV and CTI with the GRACE score has the potential to enhance the predictive accuracy for MACE. Conclusion Non‐invasive hemodynamic indicators SV, CO, CI, CTI, EDFR, EDV and SVR can not only independently predict the risk of recent MACE in patients with STEMI, but can also be used as joint indicators to significantly improve the predictive ability of GRACE score.
ISSN:1542-474X
DOI:10.1111/anec.70056
Fuente:Health & Medical Collection