Özet:

Target: ST segment, which is complicated with respiratory failure, is associated with increased hospital and non-hospital heart attack (STEMI) with increased unwanted cardiovascular events (KVOs). In our study, we aimed at analyzing the hospitalized outcomes and influential factors of STEMI diagnosis received and enthusiast patients in our third stage center. Method: 592 patients with acute ST segment elevation MI diagnosis in emergency service between May 2017 and January 2019 were scaned retrospective. Before Primary PKG, patients enthusiasted due to heart arrest in emergency service or ambulance and unenthusiasted patients were compared with their biochemical, cardiovascular risk factors, angiographic characteristics. Unwanted KVOs were defined as hospital death, cerebrovascular infarction and acute stent thrombosis. Results: 60 patients with enthube (70% men, an average age of 63.6 ± 14.0) and 532 non-enthube patients (81% men, an average age of 60.2 ± 12.1) were included in the study. Angiographical characteristics were similar among the groups. In 43.3% of enthusiast patients, 3.6% of non-enthusiast patients had unwanted KVOs. In multi-variable analysis, age (OO: 1.065, p<0.001), serum lactate levels (OO: 1.308, p<0.001) and left ventricular injection fraction (SVEF) (OO: 0.946, p<0.001) were identified as an independent predictor of unwanted hospitalized KVOs in STYME patients. Result: Our one-centric study showed that one in every 10 patients with STYME was enthusiast, and that about four in 10 patients with enthusiast had unwanted events in the hospital.

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