- Eskisehir Medical Journal
- Vol: 4 Issue: 2
- THE PREDICTORS OF MORTALITY IN PATIENTS WHO WERE REFERRED TO CORONARY ANGIOGRAPHY DUE TO MYOCARDIAL ...
THE PREDICTORS OF MORTALITY IN PATIENTS WHO WERE REFERRED TO CORONARY ANGIOGRAPHY DUE TO MYOCARDIAL INFARCTION AND HAD COVID-19
Authors : Cem Çöteli, Furkan Kulekci, Özge Çakmak Karaaslan, Murat Oguz Özilhan, Emre Aruğaslan, Havva Tuğba Gürsoy, Mehmet Akif Erdol, Serdal Baştuğ, Ahmet Kasapkara
Pages : 89-94
Doi:10.48176/esmj.2023.112
View : 41 | Download : 57
Publication Date : 2023-07-28
Article Type : Research Article
Abstract :Background and Objective The mortality and morbidity data are limited because the patients who presented with myocardial infarction and have COVID-19 were not followed for an extended period. This study aimed to investigate mortality predictors in this group. Method Eighty patients with COVID-19 infection who performed invasive coronary angiography due to high-risk myocardial infarction were enrolled. All patients were followed at least one year after the first admission. Mortality data and medical records were retrospectively collected using the hospital’s medical record software. Results Thirty-four patients (42.5%) died one year after the first admission. Thirty of them (88.2%) were in-hospital mortality. The median door-to-procedure time was 107.5 minutes (17-1278). PCI was performed in 49 patients (61.25%). Higher ferritin and LDH were independent factors related to mortality (OR: 1.006, CI 95%: 1.001-1.01, p: 0.011; OR:1.005, CI 95%: 1.001-1.009, p:0.025; respectively). The cut-off value was estimated at 211 mcg/L for ferritin (AUC:0.762, sensitivity: 73.5%, specificity 63%, p:<0.001), and 492 U/L for LDH (AUC:0.863, sensitivity: 79.4%, specificity 80.4%, p:<0.001). Conclusion Despite invasive management, the mortality rate in patients with myocardial infarction and COVID-19 is high. Only increased LDH and ferritin levels were independent predictors for mortality.Keywords : Miyokard Enfarktüsü, COVID-19, Koroner Anjiyografi, Mortalite, Myocardial Infarction, Coronary Angiography, Mortality