Role of ACEF score in assessment of primary PCI for ≥75 years old STEMI patients
Abstract：Objective To study the role of ACEF score in assessment of primary PCI for ≥75 years old STEMI patients.Methods One hundred and four STEMI patients who underwent primary PCI in our hospital from November 2011 to January 2014 were divided into low-moderate risk group (n=18) with an ACEF score of 1.18±0.09 and high risk group (n=86) with an ACEF score of 1.63±0.05.Their primary endpoints were 30-day and 1-year all-cause mortality after primary PCI.Relationship between ACEF score and ontcome in two groups was analyzed by univariate Cox regression analysis.The 30-day and 1-year all-cause mortalities were predicted according to their ROC.Results The incidence of ischemic stroke and the LVEF were significantly higher while the age was significantly younger,the body height and the ratio of male patients were significantly lower in low-moderate risk group than in high risk group.The area under the AUC for 30-day and 1-year mortality was 0.669 and 0.680 respectively.Univariate Cox regression analysis showed no significant difference in 30-day and 1-year mortality between the two groups (HR =1.251,95％CI:0.151-10.387,P=0.430;HR=0.836,95％CI:0.177-3.935,P=0.820).Conclusion ACEF score does not play an effective role in risk stratification and outcome assessment in elderly STEMI patients.
Keywords：myocardial infarctioncoronary artery bypassoff-pumpangioplastytransluminalpercutaneous coronarycoronary angiography
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 1260-1263 )