Một số yếu tố tiên lượng nặng liên quan đến tỷ lệ tử vong trong 24 giờ đầu can thiệp động mạch vành qua da

To study preliminary severe prognostic risk factors related to mortality immediately during the first 24 hours of Percutaneous Coronary Intervention (PCI). Object and research methodology: from 08/2008 to 02/2009, 511 patients underwent PCI at the Vietnam Heart Institute. Some severe risk factors involving death prognostic during the first 24 hours were used for analysis. Results: Mortality rate during the first 24 hours of procedures constituted 2,2 percent, mortality rate in female is 2,6 percent and 2 percent in male, the average age of patients death was 68,91 + or - 10,23. Mortality of urgent procedures was higher than mortality of elective procedures (3,7 percent 0,4 percent) with P 0,05. Some severe prognostic risk factors involving: cardiogenic shock (p 0,001), heart failure Killip level III (p 0,05), heart failure NYHA level III-IV (p 0,001), left ventricular ejection fraction 29 percent (p 0,001), renal disease (p 0,05), left main disease (p 0,01), triple vessel disease (p 0,001).