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Importance of EuroSCORE-II in the Development of Acute Ischemic Heart Failure After Acute Anterior ST Elevation Myocardial Infarction

Yıl 2016, Cilt: 19 Sayı: 2, 65 - 71, 01.08.2016

Öz




Introduction:
We aimed to evaluate the importance of the
EuroSCORE-II (ES-II) risk-scoring system in predicting the development of acute
ischemic heart failure (AIHF) after acute anterior ST segment elevation
myocardial infarction (A-STEMI).



Patients
and Methods:
A total of 261 patients (206 male; mean age,
63.5 ± 14.2 years) admitted to our centre with A-STEMI between April 2012 and
January 2013 were included in the study. The patients were divided into two
groups according to their clinical findings and were prospectively followed
during the hospitalisation period for the development of cardiac morbidity and
mortality. These groups were the AIHF group (n= 69) and non-AIHF group (n=
192). For the diagnosis of AIHF, we considered the recommendations of the
European Society of Cardiology Guidelines on Heart Failure and the Framingham
criteria.



Results: According
to our results, the morbidity and mortality rates were higher in the AIHF
group. Symptom-to-balloon time, ejection fraction (EF), glomerular filtration
rate (gfr), no-reflow phenomenon, left main coronary artery disease and ES-II,
which are the predictors of the development of AIHF, were determined via
logistic regression analysis. ROC analysis revealed that symptom-to-balloon
time > 209.5 min, EF < 36.5%, gfr < 68.5 mg/dL/1.73 m2 and
ES-II > 4.9% were the cut-off values in the development of AIHF.



Conclusion: Patients with A-STEMI complicated
by AIHF have significantly high mortality rates. With the pre-estimation of the
development of AIHF, complication rates can be reduced. For this purpose, ES-II
score > 4.9% can be used as a predictor of AIHF after A-STEMI.

Kaynakça

  • 1. Lloyd-Jones D, Adams RJ, Brown TM, Carnethon M, Dai S, De Simone G, et al; American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Executive summary: heart disease and stroke statistics 2010 update: a report from the American Heart Association. Circulation 2010;121:948-54.
  • 2. Gaziano TA, Bitton A, Anand S, Abrahams-Gessel S, Murphy A. Growing epidemic of coronary heart disease in low and middle income countries. Curr Probl Cardiol 2010;35:72-115.
  • 3. Hunink MG, Goldman L, Tosteson AN, Mittleman MA, Goldman PA, Williams LW, et al. The recent decline in mortality from coronary heart disease, 1980-1990. The effect of secular trends in risk factors and treatment. JAMA 1997;277:535-42.
  • 4. Tunstall-Pedoe H, Kuulasmaa K, Mähönen M, Tolonen H, Ruokokoski E, Amouyel P, et al. Contributions of trends in survival and coronary-event rates to changes in coronary heart disease mortality: 10-year results from 37 WHO MONICA project populations. Monitoring trends and determinants in cardiovascular disease. Lancet 1999;353:1547-57.
  • 5. Waller BF. Non Atherosclerotic coronary heart disease. In: Fuster V, Alexander RW, O Rourke RA (eds). Hursts the heart.10th ed. McGraw-Hill: 2001:1161-205.
  • 6. De Bono DP, Bhattacharrya AK. Segmental analysis of coronary arterial stenoses in patients presenting with angina or first myocardial infarction. Int J Cardiol 1991;32:313-22.
  • 7. Dickstein K, Cohen-Solal A, Filippatos G, McMurray JJ, Ponikowski P, Poole-Wilson PA, et al. ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2008: the Task Force for the diagnosis and treatment of acute and chronic heart failure 2008 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association of the ESC (HFA) and endorsed by the European Society of Intensive Care Medicine (ESICM). Eur J Heart Fail 2008;10:933-89.
  • 8. Lee JH, Park HS, Chae SC, Cho Y, Yang DH, Jeong MH, et al; Korea Acute Myocardial Infarction Registry Investigators. Predictors of six-month major adverse cardiac events in 30-day survivors after acute myocardial infarction (from the Korea Acute Myocardial Infarction Registry). Am J Cardiol 2009;104:182-9.
  • 9. Rogers WJ, Frederick PD, Stoehr E, Canto JG, Ornato JP, Gibson CM, et al. Trends in presenting characteristics and hospital mortality among patients with ST elevation and non-ST elevation myocardial infarction in the National Registry of Myocardial Infarction from 1990 to 2006. Am Heart J 2008;156:1026-34.
  • 10. Van Gaal WJ, Ponnuthurai FA, Selvanayagam J, Testa L, Porto I, Neubauer S, et al. The Syntax score predicts periprocedural myocardial necrosis during percutaneous coronary intervention. Int J Cardiol 2009;135:60-5.
  • 11. Akkerhuis KM, Alexander JH, Tardiff BE, Boersma E, Harrington RA, Lincoff AM, et al. Minor myocardial damage and prognosis: are spontaneous and percutaneous coronary intervention-related events different? Circulation 2002;105:554-6.
  • 12. Gheorghiade M, Sopko G, De Luca L, Velazquez EJ, Parker JD, Binkley PF, et al. Navigating the crossroads of coronary artery disease and heart failure. Circulation 2006;114:1202-13.
  • 13. Lloyd-Jones D, Adams R, Carnethon M, De Simone G, Ferguson TB, Flegal K, et al; American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics--2009 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation 2009;119:480-6.
  • 14. Nashef SA, Roques F, Michel P, Gauducheau E, Lemeshow S, Salamon R. European system for cardiac operative risk evaluation (EuroSCORE). Eur J Cardiothorac Surg 1999;16:9-13.
  • 15. Nashef SA, Roques F, Hammill BG, Peterson ED, Michel P, Grover FL, et al. Validation of European System for Cardiac Operative Risk Evaluation (EuroSCORE) in North American cardiac surgery. Eur J Cardiothorac Surg 2002;22:101-5.
  • 16. Roques F, Michel P, Goldstone AR, Nashef SA. The logistic EuroSCORE. Eur Heart J 2003;24:881-2.
  • 17. Capodanno D, Dipasqua F, Marcantoni C, Ministeri M, Zanoli L, Rastelli S, et al. EuroSCORE II versus additive and logistic EuroSCORE in patients undergoing percutaneous coronary intervention. Am J Cardiol 2013;112:323-9.
  • 18. Rodes-Cabau J, Deblois J, Bertrand OF, Mohammadi S, Courtis J, Larose E, et al. Non randomized comparison of coronary artery bypass surgery and percutaneous coronary intervention for the treatment of unprotected left main coronary artery disease in octogenarians. Circulation 2008;118:2374-81.
  • 19. Min SY, Park DW, Yun SC, Kim YH, Lee JY, Kang SJ, et al. Major predictors of long-term clinical outcomes after coronary revascularization in patients with unprotected left main coronary disease: analysis from the MAIN-COMPARE study. Circ Cardiovasc Interv 2010;3:127-33.
  • 20. Nashef SA, Roques F, Sharples LD, Nilsson J, Smith C, Goldstone AR, et al. EuroSCORE II. Eur J Cardiothorac Surg 2012;41:734-44.
  • 21. Ranucci M, Castelvecchio S, Menicanti LA, Scolletta S, Biagioli B, Giomarelli P. An adjusted EuroSCORE model for high-risk cardiac patients. Eur J Cardiothorac Surg 2009;36:791-7.
  • 22. Siregar S, Groenwold RH, de Heer F, Bots ML, van der Graaf Y, vanHerwerden LA. Performance of the original EuroSCORE. Eur J Cardiothorac Surg 2012; 41:746-54.
  • 23. McKee PA, Castelli WP, McNamara PM, Kannel WB. The natural history of congestive heart failure: the Framingham study. N Engl J Med 1971;285:1441-6.
  • 24. Gheorghiade M, Zannad F, Sopko G, Klein L, Pina IL, Konstam MA, et al; International Working Group on Acute Heart Failure Syndromes. Acute heart failure syndromes: current state and framework for future research. Circulation 2005;112:3958-68.
  • 25. Judge KW, Pawitan Y, Caldwell J, Gersh BJ, Kennedy JW. Congestive heart failure symptoms in patients with preserved left ventricular systolic function: analysis of the CASS registry. J Am Coll Cardiol 1991;18:377-82.
  • 26. Felker GM, Shaw LK, O’Connor CM. A standardized definition of ischemic cardiomyopathy for use in clinical research. Circulation 2002;39:210-8.
  • 27. Bart BA, Shaw LK, McCants CB Jr, Fortin DF, Lee KL, Califf RM, et al. Clinical determinants of mortality in patients with angiographically diagnosed ischemic or nonischemic cardiomyopathy. J Am Coll Cardiol 1997;30:1002-8.
  • 28. Khot UN, Jia G, Moliterno DJ, Lincoff AM, Khot MB, Harrington RA, et al. Prognostic Importance of physical examination for heart failure in non-ST-elevation acute coronary syndromes: the enduring value of Killip classification. JAMA 2003;290:2174-81.
  • 29. Steg PG, Dabbous OH, Feldman LJ, Cohen-Solal A, Aumont MC, López-Sendón J, et al; Global Registry of Acute Coronary Events Investigators. Determinants and prognostic impact of heart failure complicating acute coronary syndromes: observations from the Global Registry of Acute Coronary Events (GRACE). Circulation 2004;109:494-9.
  • 30. Juillière Y, Cambou JP, Bataille V, Mulak G, Galinier M, Gibelin P, et al; FAST-MI Investigators. Heart failure in acute myocardial infarction: a comparison between patients with or without heart failure criteria from the FAST-MI registry. Esp Cardiol 2012;65:326-33.
  • 31. Purek L, Laule-Kilian K, Christ A. Coronary artery disease and outcome in acute congestive heart failure. Heart 2006;92:598-602.
  • 32. Adams KF Jr, Fonarow GC, Emerman CL, LeJemtel TH, Costanzo MR, Abraham WT, et al; ADHERE Scientific Advisory Committee and Investigators. Characteristics and outcomes of patients hospitalized for heart failure in the United States: rationale, design, and preliminary observations from the first 100,000 cases in the Acute Decompensated Heart Failure National Registry (ADHERE). Am Heart J 2005;149:209-16.
  • 33. Cleland JG, Swedberg K, Follath F, Komajda M, Cohen-Solal A, Aguilar JC, et al; Study Group on Diagnosis of the Working Group on Heart Failure of the European Society of Cardiology. The EuroHeart Failure survey programme-a survey on the quality of care among patients with heart failure in Europe: Part 1: patient characteristics and diagnosis. Eur Heart J 2003;24:442-63.

Akut Anterior Miyokart İnfarktüsü Sonrası Akut İskemik Kalp Yetersizliği Gelişimini Öngörmede EuroSCORE-II’nin Önemi

Yıl 2016, Cilt: 19 Sayı: 2, 65 - 71, 01.08.2016

Öz




Giriş:
Akut anterior ST yükselmeli miyokart infarktüsü
(A-STEMİ) sonrası akut iskemik kalp yetersizliği (AİKY) gelişimini öngörmede
EuroSCORE-II skorlama sisteminin önemini değerlendirmeyi amaçladık.



Hastalar
ve Yöntem:
Çalışmaya Nisan 2012-Ocak
2013 tarihleri arasında merkezimize A-STEMİ nedeniyle kabul edilen 261 hasta
(206 erkek, ortalama yaş 63.5 ± 14.2) dahil edildi. Hastalar klinik bulgularına
göre iki farklı gruba ayrıldı ve hastanede yatış periyodu süresince kardiyak
morbidite ve mortalite gelişimi bakımından prospektif olarak takip edildi. Bu gruplar
AİKY grubu ((n= 69) ve non-AİKY grupları (n= 192) idi. AİKY tanısı koyabilmek
için Avrupa Kardiyoloji Cemiyeti kalp yetersizliği klavuzu ve Framingham
kriterleri göz önünde bulunduruldu.



Bulgular:
Çalışmamız sonuçlarına göre AİKY grubunda morbidite
ve mortalite daha yüksekti. Regresyon analizleri sonuçlarına göre semptom-balon
zamanı, ejeksiyon fraksiyonu, no-reflow fenomeni, sol ana koroner hastalığı, üç
damar koroner arter hastalığı, SYNTAX skoru ve ES-II’nin AİKY gelişiminin
prediktörleri oldukları belirlendi. ROC analizlerinin sonuçlarına gore
semptom-kapı zamanının > 229.5 dakika, EF < %36.5, SYNTAX skoru >
27.75 ve EsII > %4.9 değerlerinin AİKY gelişimini öngördürebilecek sınır
değerler oldukları belirlendi.



Sonuç: AİKY gelişen A-STEMİ’li hastalarda mortalite
oranları artmaktadır. AİKY gelişiminin önceden öngörülmesi kardiyak
komplikasyonları azaltabilir. Bu amaçla Es-II’nin > %4.9 olması A-STEMİ
sonrası AİKY gelişimim öngördürücüsü olarak kullanılabilir.

Kaynakça

  • 1. Lloyd-Jones D, Adams RJ, Brown TM, Carnethon M, Dai S, De Simone G, et al; American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Executive summary: heart disease and stroke statistics 2010 update: a report from the American Heart Association. Circulation 2010;121:948-54.
  • 2. Gaziano TA, Bitton A, Anand S, Abrahams-Gessel S, Murphy A. Growing epidemic of coronary heart disease in low and middle income countries. Curr Probl Cardiol 2010;35:72-115.
  • 3. Hunink MG, Goldman L, Tosteson AN, Mittleman MA, Goldman PA, Williams LW, et al. The recent decline in mortality from coronary heart disease, 1980-1990. The effect of secular trends in risk factors and treatment. JAMA 1997;277:535-42.
  • 4. Tunstall-Pedoe H, Kuulasmaa K, Mähönen M, Tolonen H, Ruokokoski E, Amouyel P, et al. Contributions of trends in survival and coronary-event rates to changes in coronary heart disease mortality: 10-year results from 37 WHO MONICA project populations. Monitoring trends and determinants in cardiovascular disease. Lancet 1999;353:1547-57.
  • 5. Waller BF. Non Atherosclerotic coronary heart disease. In: Fuster V, Alexander RW, O Rourke RA (eds). Hursts the heart.10th ed. McGraw-Hill: 2001:1161-205.
  • 6. De Bono DP, Bhattacharrya AK. Segmental analysis of coronary arterial stenoses in patients presenting with angina or first myocardial infarction. Int J Cardiol 1991;32:313-22.
  • 7. Dickstein K, Cohen-Solal A, Filippatos G, McMurray JJ, Ponikowski P, Poole-Wilson PA, et al. ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2008: the Task Force for the diagnosis and treatment of acute and chronic heart failure 2008 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association of the ESC (HFA) and endorsed by the European Society of Intensive Care Medicine (ESICM). Eur J Heart Fail 2008;10:933-89.
  • 8. Lee JH, Park HS, Chae SC, Cho Y, Yang DH, Jeong MH, et al; Korea Acute Myocardial Infarction Registry Investigators. Predictors of six-month major adverse cardiac events in 30-day survivors after acute myocardial infarction (from the Korea Acute Myocardial Infarction Registry). Am J Cardiol 2009;104:182-9.
  • 9. Rogers WJ, Frederick PD, Stoehr E, Canto JG, Ornato JP, Gibson CM, et al. Trends in presenting characteristics and hospital mortality among patients with ST elevation and non-ST elevation myocardial infarction in the National Registry of Myocardial Infarction from 1990 to 2006. Am Heart J 2008;156:1026-34.
  • 10. Van Gaal WJ, Ponnuthurai FA, Selvanayagam J, Testa L, Porto I, Neubauer S, et al. The Syntax score predicts periprocedural myocardial necrosis during percutaneous coronary intervention. Int J Cardiol 2009;135:60-5.
  • 11. Akkerhuis KM, Alexander JH, Tardiff BE, Boersma E, Harrington RA, Lincoff AM, et al. Minor myocardial damage and prognosis: are spontaneous and percutaneous coronary intervention-related events different? Circulation 2002;105:554-6.
  • 12. Gheorghiade M, Sopko G, De Luca L, Velazquez EJ, Parker JD, Binkley PF, et al. Navigating the crossroads of coronary artery disease and heart failure. Circulation 2006;114:1202-13.
  • 13. Lloyd-Jones D, Adams R, Carnethon M, De Simone G, Ferguson TB, Flegal K, et al; American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics--2009 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation 2009;119:480-6.
  • 14. Nashef SA, Roques F, Michel P, Gauducheau E, Lemeshow S, Salamon R. European system for cardiac operative risk evaluation (EuroSCORE). Eur J Cardiothorac Surg 1999;16:9-13.
  • 15. Nashef SA, Roques F, Hammill BG, Peterson ED, Michel P, Grover FL, et al. Validation of European System for Cardiac Operative Risk Evaluation (EuroSCORE) in North American cardiac surgery. Eur J Cardiothorac Surg 2002;22:101-5.
  • 16. Roques F, Michel P, Goldstone AR, Nashef SA. The logistic EuroSCORE. Eur Heart J 2003;24:881-2.
  • 17. Capodanno D, Dipasqua F, Marcantoni C, Ministeri M, Zanoli L, Rastelli S, et al. EuroSCORE II versus additive and logistic EuroSCORE in patients undergoing percutaneous coronary intervention. Am J Cardiol 2013;112:323-9.
  • 18. Rodes-Cabau J, Deblois J, Bertrand OF, Mohammadi S, Courtis J, Larose E, et al. Non randomized comparison of coronary artery bypass surgery and percutaneous coronary intervention for the treatment of unprotected left main coronary artery disease in octogenarians. Circulation 2008;118:2374-81.
  • 19. Min SY, Park DW, Yun SC, Kim YH, Lee JY, Kang SJ, et al. Major predictors of long-term clinical outcomes after coronary revascularization in patients with unprotected left main coronary disease: analysis from the MAIN-COMPARE study. Circ Cardiovasc Interv 2010;3:127-33.
  • 20. Nashef SA, Roques F, Sharples LD, Nilsson J, Smith C, Goldstone AR, et al. EuroSCORE II. Eur J Cardiothorac Surg 2012;41:734-44.
  • 21. Ranucci M, Castelvecchio S, Menicanti LA, Scolletta S, Biagioli B, Giomarelli P. An adjusted EuroSCORE model for high-risk cardiac patients. Eur J Cardiothorac Surg 2009;36:791-7.
  • 22. Siregar S, Groenwold RH, de Heer F, Bots ML, van der Graaf Y, vanHerwerden LA. Performance of the original EuroSCORE. Eur J Cardiothorac Surg 2012; 41:746-54.
  • 23. McKee PA, Castelli WP, McNamara PM, Kannel WB. The natural history of congestive heart failure: the Framingham study. N Engl J Med 1971;285:1441-6.
  • 24. Gheorghiade M, Zannad F, Sopko G, Klein L, Pina IL, Konstam MA, et al; International Working Group on Acute Heart Failure Syndromes. Acute heart failure syndromes: current state and framework for future research. Circulation 2005;112:3958-68.
  • 25. Judge KW, Pawitan Y, Caldwell J, Gersh BJ, Kennedy JW. Congestive heart failure symptoms in patients with preserved left ventricular systolic function: analysis of the CASS registry. J Am Coll Cardiol 1991;18:377-82.
  • 26. Felker GM, Shaw LK, O’Connor CM. A standardized definition of ischemic cardiomyopathy for use in clinical research. Circulation 2002;39:210-8.
  • 27. Bart BA, Shaw LK, McCants CB Jr, Fortin DF, Lee KL, Califf RM, et al. Clinical determinants of mortality in patients with angiographically diagnosed ischemic or nonischemic cardiomyopathy. J Am Coll Cardiol 1997;30:1002-8.
  • 28. Khot UN, Jia G, Moliterno DJ, Lincoff AM, Khot MB, Harrington RA, et al. Prognostic Importance of physical examination for heart failure in non-ST-elevation acute coronary syndromes: the enduring value of Killip classification. JAMA 2003;290:2174-81.
  • 29. Steg PG, Dabbous OH, Feldman LJ, Cohen-Solal A, Aumont MC, López-Sendón J, et al; Global Registry of Acute Coronary Events Investigators. Determinants and prognostic impact of heart failure complicating acute coronary syndromes: observations from the Global Registry of Acute Coronary Events (GRACE). Circulation 2004;109:494-9.
  • 30. Juillière Y, Cambou JP, Bataille V, Mulak G, Galinier M, Gibelin P, et al; FAST-MI Investigators. Heart failure in acute myocardial infarction: a comparison between patients with or without heart failure criteria from the FAST-MI registry. Esp Cardiol 2012;65:326-33.
  • 31. Purek L, Laule-Kilian K, Christ A. Coronary artery disease and outcome in acute congestive heart failure. Heart 2006;92:598-602.
  • 32. Adams KF Jr, Fonarow GC, Emerman CL, LeJemtel TH, Costanzo MR, Abraham WT, et al; ADHERE Scientific Advisory Committee and Investigators. Characteristics and outcomes of patients hospitalized for heart failure in the United States: rationale, design, and preliminary observations from the first 100,000 cases in the Acute Decompensated Heart Failure National Registry (ADHERE). Am Heart J 2005;149:209-16.
  • 33. Cleland JG, Swedberg K, Follath F, Komajda M, Cohen-Solal A, Aguilar JC, et al; Study Group on Diagnosis of the Working Group on Heart Failure of the European Society of Cardiology. The EuroHeart Failure survey programme-a survey on the quality of care among patients with heart failure in Europe: Part 1: patient characteristics and diagnosis. Eur Heart J 2003;24:442-63.
Toplam 33 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Orijinal Araştırmalar
Yazarlar

İlker Gül Bu kişi benim

Mustafa Zungur Bu kişi benim

Ahmet Çağrı Aykan Bu kişi benim

Aysel İslamlı Bu kişi benim

Bekir Serhat Yıldız Bu kişi benim

Murat Bilgin Bu kişi benim

Yayımlanma Tarihi 1 Ağustos 2016
Yayımlandığı Sayı Yıl 2016 Cilt: 19 Sayı: 2

Kaynak Göster

Vancouver Gül İ, Zungur M, Aykan AÇ, İslamlı A, Yıldız BS, Bilgin M. Importance of EuroSCORE-II in the Development of Acute Ischemic Heart Failure After Acute Anterior ST Elevation Myocardial Infarction. Koşuyolu Heart Journal. 2016;19(2):65-71.