Evaluation of shock index and modified shock index in estimation of MACE parameters in patients with ST elevated myocardial infarction

Year 2021, Volume: 46 Issue: 2, 410 - 417, 30.06.2021

Pınar Yeşim Akyol , Zeynep Karakaya , Fatih Topal , Rıfat Urnal Murat Acar Umut Payza , Serkan Bilgin

https://doi.org/10.17826/cumj.792805

Abstract

Purpose: Shock index and modified shock index were used to evaluate the hemodynamic status of patients with trauma, pulmonary embolism and aortic dissection. In this study, we aimed to evaluate the effectiveness of shock index and modified shock index as an indicator of major adverse cardiac event parameters in patients with ST elevated myocardial infarction.
Materials and Methods: A total of 194 patients with ST elevated myocardial infarction were included in the study. Shock index and modified shock index were evaluated regarded to predicting major adverse cardiac event and major adverse cardiac event parameters separately.
Results: A total of 194 patients were included in the study. The 7-day mortality was 2.4% in the shock index <0.66 group and 11.6% in the shock index ≥ 0.66 group. The rate of development of major adverse cardiac event was 4.0% for shock index <0.66 and 17.4% for shock index 0.66. The 7-day mortality was 3.0% in the modified shock index <0.93 group and 11.1% in the modified shock index 0.93 group. The rate of major adverse cardiac event was 3.8% in the modified shock index <0.93 group and 19.4% in the modified shock index ≥ 0.93 group.
Conclusion: Shock index and modified shock index are useful methods for estimating both major adverse cardiac event and major adverse cardiac event parameters separately.

Keywords

STEMI, Shock index, modified shock index, MACE

ST elevasyonlu miyokard enfarktüslü hastalarda MACE parametrelerinin tahminde şok indeksi ve modifiye şok indeksinin değerlendirilmesi

Abstract

Amaç: Şok indeksi ve modifiye şok indeksi travma, pulmoner emboli ve aort diseksiyonu olan hastaların hemodinamik durumunu değerlendirmek için kullanılmıştır. Bu çalışmada ST elevasyonlu miyokard infarktüs hastalarında majör istenmeyen kardiyak olay parametrelerinin bir göstergesi olarak şok indeksi ve modifiye şok indeksinin etkinliğini değerlendirmeyi amaçladık.
Gereç ve Yöntem: Çalışmaya ST elevasyonlu miyokard enfarktüsü olan toplam 194 hasta dahil edildi. Şok indeksi ve modifiye şok indeksinin majör istenmeyen kardiyak olayı ve majör istenmeyen kardiyak olay parametrelerini ayrı ayrı öngörme açısından değerlendirildi.
Bulgular: Çalışmaya toplam 194 hasta dahil edildi. 7 günlük mortalite şok indeksi <0.66 grubunda %2.4 ve şok indeksi ≥ 0.66 grubunda %11.6 idi. Majör istenmeyen kardiyak olay gelişme oranı şok indeksi <0.66 için %4.0 ve şok indeksi ≥0.66 için %17.4 idi. 7 günlük mortalite modifiye şok indeksi <0.93 grubunda %3.0 ve modifiye şok indeksi ≥0.93 grubunda% 11.1 idi. Majör istenmeyen kardiyak olay gelişme oranı modifiye şok indeksi <0.93 grubunda % 3.8 ve modifiye şok indeksi ≥ 0.93 grubunda% 19.4 idi.
Sonuç: Şok indeksi ve modifiye şok indeksi, hem majör istenmeyen kardiyak olay gelişimini hem de majör istenmeyen kardiyak olay parametrelerini ayrı ayrı hesaplamak için faydalı yöntemlerdir.

Keywords

Stemi, Şok indeksi, modifiye şok indeksi

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