个人科研网厅 | | 帮助
高级检索
当前位置： 首页 > 详情页

Causes of In-Hospital Death in Patients With ST-Segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention in Beijing Area

| 认领 | 导出 | |

文献详情

资源类型：
Pubmed体系：
作者：
Li Jing[1] * ; Zhang Yinghua[2] ; Ma Yixin[1] ; Sun Jinghao[1] ; Li Xiaojie[3] ; Chen Buxing[4] ; Chen Hui[5] ; Dong Peng[6] ; Guo Jingxuan[7] ; Guo Lijun[7] ; Hao Hengjian[8] ; Ji Hanhua[9] ; Li Kang[8] ; Liu Hongxu[10] ; Lv Shuzheng[11] ; Shen Luhua[5] ; Shen Zhujun[12] ; Wang Guohong[13] ; Wang Lefeng[14] ; Wang Lei[5] ; Yu Mengyue[15] ; Zhang Fuchun[16] ; Zhang Haibin[10] ; Zhang Jianjun[14] ; Zhao Xingshan[17] ; Yang Yuejin[18] ;
机构： [1]Department of Geriatrics, Xuanwu Hospital Capital Medical University, National Clinical Research Center for Geriatric Diseases, Beijing 100053, China. [2]Division of Cardiology, Chui Yang Liu Hospital affiliated to Tsinghua University, Beijing 100022, China. [3]Beijing Quality Control and Improvement Center for Cardiovascular Intervention, Beijing 100037, China. [4]Division of Cardiology, Beijing University of Chinese Medicine Third Affiliated Hospital, Beijing 100029, China. [5]Division of Cardiology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China. [6]Division of Cardiology, Aviation General Hospital, Chinese Medical University, Beijing 100012, China. [7]Division of Cardiology, Peking University Third Hospital, Beijing 100191, China. [8]Division of Cardiology, Xuanwu Hospital Capital Medical University, Beijing 100053, China. [9]Division of Cardiology, Civil Aviation General Hospital, Beijing 100123, China. [10]Division of Cardiology, Beijing Hospital of Traditional Chinese Medicine, Beijing 100010, China. [11]Division of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China. [12]Division of Cardiology, Peking Union Medical College Hospital, Beijing 100730, China. [13]Division of Cardiology, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China. [14]Division of Cardiology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, China. [15]Division of Cardiology, Fuwai Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100037, China. [16]Division of Geriatrics, Peking University Third Hospital, Beijing 100191, China. [17]Division of Cardiology, Beijing Jishuitan Hospital, Beijing 100035, China. [18]Division of Cardiology, Fuwai Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100037, China. Electronic address: yangyjfw@126.com.
出处：
DOI： 10.1016/j.amjcard.2025.09.030
ISSN：

摘要：
This study aimed to identify causes of in-hospital death in ST-segment elevation myocardial infarction (STEMI) patients undergoing percutaneous coronary intervention (PPCI) in the Bejing metropolitan area.A total of 56,763 PPCIs were performed at 56 eligible hospitals between January 1, 2010, and December 31, 2018, among which 1,278 patients died. Causes of death were analyzed and finally adjudicated by a review board. The overall in-hospital mortality rate was 2.25%, ranging annually from 1.96% to 2.48% over the study period. Of these, 1069 (83.6%) deaths were attributed to disease severity-related causes, mainly cardiogenic shock of 44.4%, mechanical complications of 15.2%, malignant arrhythmia of 8.1% and heart failure of 6.2%. Another 209 (16.4%) patients died from PPCI-related complications, including coronary no-reflow of 8.5%, stent thrombosis of 3.5%, and PPCI-related bleeding of 2.4%. The incidence of PPCI-related death has decreased from 1.02% in 2010 to 0.15% in 2018 (P<.001). Hospitals in the highest quartile PPCI volume (>130 PPCI annually) had lower incidence of in-hospital death (1.97% vs. 2.62%, 2.99% and 2.56%, P<.001), disease severity-related death (1.66% vs. 2.13%, 2.4% and 2.17%, P<.001) and PPCI-related death (0.31% vs. 0.48%, 0.59% and 0.39%, P=.003), as compared to those with the first, second and third quartiles of annual PPCI volume. In conclusion,among patients with STEMI and treated with PPCI, in-hospital mortality keeps at a relatively low level in Beijing area. Most deaths are due to pathophysiological deteriorations following STEMI. Hospital PPCI volume remains serve as an important indicator for quality of care.Copyright © 2025. Published by Elsevier Inc.

语种：
外文
PubmedID：
中科院(CAS)分区：
出版当年[2025]版：
大类 | 3 区 医学
小类 | 4 区 心脏和心血管系统
最新[2025]版：
大类 | 3 区 医学
小类 | 4 区 心脏和心血管系统
第一作者：
第一作者机构： [1]Department of Geriatrics, Xuanwu Hospital Capital Medical University, National Clinical Research Center for Geriatric Diseases, Beijing 100053, China.
推荐引用方式(GB/T 7714)：
Li Jing,Zhang Yinghua,Ma Yixin,et al.Causes of In-Hospital Death in Patients With ST-Segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention in Beijing Area[J].The American Journal Of Cardiology.2025,doi:10.1016/j.amjcard.2025.09.030.
APA：
Li Jing,Zhang Yinghua,Ma Yixin,Sun Jinghao,Li Xiaojie...&Yang Yuejin.(2025).Causes of In-Hospital Death in Patients With ST-Segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention in Beijing Area.The American Journal Of Cardiology,,
MLA：
Li Jing,et al."Causes of In-Hospital Death in Patients With ST-Segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention in Beijing Area".The American Journal Of Cardiology .(2025)

资源点击量：29017 今日访问量：0 总访问量：1619 更新日期：2025-10-01 建议使用谷歌、火狐浏览器 常见问题

版权所有©2020 首都医科大学附属北京同仁医院 技术支持：重庆聚合科技有限公司 地址：北京市东城区东交民巷1号(100730)