Shock Index as a predictor for Coronary Slow/No Reflow in Patients with Acute STEMI Undergoing Primary Percutaneous Coronary Intervention

Ata Ahmed Sahsah, Mohammed El-Said; Abo_Elazm, Tarek Helmy; Atyeia, Ali Ibrahem; Assaf, Tarek Hassan; Darwish, Mohamed Said

doi:10.21608/bmfj.2024.224448.1858

	Shock Index as a predictor for Coronary Slow/No Reflow in Patients with Acute STEMI Undergoing Primary Percutaneous Coronary Intervention
Benha Medical Journal
Articles in Press, Accepted Manuscript, Available Online from 09 February 2024 PDF (893.8 K)
Document Type: Original Article
DOI: 10.21608/bmfj.2024.224448.1858
View on SCiNiTO
Authors
Mohammed El-Said Ata Ahmed Sahsah ¹; Tarek Helmy Abo_Elazm¹; Ali Ibrahem Atyeia¹; Tarek Hassan Assaf²; Mohamed Said Darwish¹
¹Department of Cardiology, Faculty of Medicine- Benha University
²Department of Cardiology, Head of Cath Lab-Egypt Air Hospital
Abstract
Background: shock index (SI), defined as heart rate divided by systolic blood pressure (mmHg), was originally described by Allgöwer et al. in 1967. SI was developed as a simple tool for the detection of circulatory collapse in hemodynamically unstable patients. Elevated SI has also been shown as a risk factor of in-hospital mortality in patients undergoing PPCI. Aim and objectives: to evaluate the value of shock index as a predictor for angiographic slow/no reflow in patients with STEMI after primary PCI. Subjects and methods: This study was conducted at Cardiology department – Egypt Air Hospital. eighty patients were admitted to coronary care unit (CCU) after diagnosis of STEMI and PCI was done within 24 hours from starting of symptoms. CT chest was routinely done to all patients before admission for reveal of COVID-19 virus infection. The study period started from July 2021 till March 2023. Results: there was a statistically significant difference between the study population regarding comparison of type of STEMI between cases with normal and cases with slow or no reflow, comparison of conventional 2D ECHO after PCI between cases with normal and cases with slow or no reflow, comparison of Shock index between cases with normal and cases with slow or no reflow and the roc curve. Conclusion: Based on our findings, shock index was significant predictor for slow/no coronary reflow in patients with STEMI after primary PCI and was found to be associated with in hospital morbidity and mortality.
Keywords
Shock; Coronary Slow/No Reflow; Acute STEMI; Percutaneous Coronary Intervention


Statistics Article View: 30 PDF Download: 34