Abstract：Objective To analyze the risk factor of recent prognosis of patients with ST-elevation myocardial infarction after percutaneous coronary intervention (PIC). Methods The clinical data of 130 patients with ST-elevation myocardial infarction treated after PCI in Traditional Chinese Medicine Hospital of Baoji City from January 2012 to January 2017 were retrospectively analyzed. They were divided into two groups according to the recent prognosis: MACE group (48 cases) and non-MACE group (82 cases). Sex, age, body mass index, Killip classification, complications, LVEF, hs-CRP, NT-proBNP, kidney function and other clinical data of patients were eliminated; the influencing factors of the recent prognosis of patients with ST-elevation myocardial infarction after PIC were analyzed by multi-factor Logistic regression model analysis. Results Single factor analysis showed that, there was no statistically significant difference in the sex, age, body mass index, Killip classification, area of infarction, and the proportion of patients with hyperlipemia, hypertension, stroke and LVEF < 40% between the two groups (P > 0.05); the proportion of patients with diabetes mellitus, number of stenosed coronary vessel ≥ 1, hs-CRP > 4 mg/L, NT-pro BNP > 3600 pmol/L, HbA1c ≥ 6.5%, SCr > 133 mmol/L, GFR < 90 mL/(min·1.73 m2),and level of Hb of patients between the two groups had statistically significant difference (P < 0.05). Logistic regression analysis showed that, hs-CRP, HbA1c, GFR, Hb, NT-proBNP were the influence factors of MACE in patients with st-elevation myocardial infarction (P < 0.05). Conclusion hs-CRP, HbA1c, GFR, Hb, NT-proBNP are risk factors of major adverse cardiovascular events of patients with ST-elevation myocardial infarction after PCI; the clinical should carry corresponding treatment, to improve the prognosis of patients.
2017, Vol. 14 
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