Original Article

Pulse pressure and inferior wall ST‑segment elevation myocardial infarction: investigating mortality, hospital major cardiovascular events, and long‑term prognosis

Enayatollah Enayatollah Hashemi-Jokandan, Amirreza Khalaji, Ali Abdollahzadeh, Ahmad Separham
Journal of Public Health in Africa | Vol 14, No 11 | a44 | DOI: https://doi.org/10.4081/jphia.2023.2743 | © 2024 Enayatollah Enayatollah Hashemi-Jokandan, Amirreza Khalaji, Ali Abdollahzadeh, Ahmad Separham | This work is licensed under CC Attribution 4.0
Submitted: 14 March 2024 | Published: 30 November 2023

About the author(s)

Enayatollah Enayatollah Hashemi-Jokandan, Cardiology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
Amirreza Khalaji, Connective Tissue Diseases Research Center; and, Immunology Research Center, Tabriz University of Medical Sciences, Iran
Ali Abdollahzadeh, Cardiology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
Ahmad Separham, Cardiology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

Full Text:

PDF (197KB)

Abstract

Inferior Wall ST‑Segment Elevation Myocardial Infarction (INF STEMI) is a severe condition with high mortality. Rapid treatment with Primary Percutaneous Coronary Intervention (PPCI) is preferred. Pulse Pressure(PP) is a known risk factor for both cardiovascular disease and may be a valuable predictor of outcomes in these patients. The study aims to evaluate the relationship between PP and long‑term prognosis, mortality, and major cardiovascular events after inferior STEMI in cases who underwent PPCI. This cross‑sectional study included subjects with a confirmed diagnosis of inferior STEMI who underwent PPCI. Patient data were gathered from hospital records and analyzed for the relationship between PP and MACE during hospitalization and one‑year follow‑up. Statistical analysis was performed using SPSS. This cross‑sectional study of 320 cases found that DM, DBP, and Cr patients had a higher incidence of MACEs (P‑value <0.05). Subjects with higher LVEF and SBP had fewer MACEs (P‑value <0.05). Cases with a PP of ≤50 had a higher mortality and heart failure incidence during hospitalization than those with a PP >50(P‑value <0.05). However, the two groups had no significant difference in one‑year MACE rates. The study found that increasing DBP, Cr, and DM and decreasing LVEF and SBP impacted MACE incidence. PP ≤50 had more heart failure incidence and mortality during hospitalization in patients with inferior STEMI.

Keywords

pulse pressure; primary percutaneous coronary intervention; major cardiovascular events; ST‑segment elevation myocardial infarction; inferior STEMI

Metrics

Total abstract views: 551
Total article views: 45


Crossref Citations

No related citations found.