Prognostic impact of systolic blood pressure at admission on in-hospital outcome after primary percutaneous coronary intervention for acute myocardial infarction

Journal of cardiology
Jun ShiraishiHiroaki Matsubara


Data regarding the relationship between systolic blood pressure (SBP) at admission and in-hospital outcome in patients with acute myocardial infarction (AMI) undergoing primary percutaneous coronary intervention (PCI) are still lacking in Japan. A total of 1475 primary PCI-treated AMI patients were classified into quintiles based on admission SBP (<105 mmHg, n=300; 105-125 mmHg, n=294; 126-140 mmHg, n=306; 141-158 mmHg, n=286; and ≥159 mmHg n=289). The patients with SBP<105 mmHg tended to have higher age, previous myocardial infarction, chronic kidney disease (CKD), Killip class≥3 at admission, right coronary artery, left main trunk (LMT), or multivessels as culprit lesions, larger number of diseased vessels, lower Thrombolysis In Myocardial Infarction (TIMI) grade in the infarct-related artery before primary PCI, and higher value of peak creatine phosphokinase concentration. Patients with SBP<105 mmHg had a significantly higher mortality, while mortality was not significantly different among the other quintiles: 24.3% (<105 mmHg), 4.8% (105-125 mmHg), 4.9% (126-140 mmHg), 2.8% (141-158 mmHg), and 5.2% (≥159 mmHg) (p<0.001). On multivariate analysis, Killip class≥3 at admission, LMT or multivessels as culprit lesions, admission...Continue Reading


Apr 1, 1992·Journal of the American College of Cardiology·A R MoosviS Goldstein
Sep 2, 1993·The New England Journal of Medicine·UNKNOWN GUSTO investigators
Sep 12, 1996·The New England Journal of Medicine·UNKNOWN Global Use of Strategies to Open Occluded Coronary Arteries (GUSTO) IIb investigators
Jun 15, 2004·International Journal of Cardiology·Xander H T Wehrens, Pieter A Doevendans
Feb 25, 2006·Emergency Medicine Journal : EMJ·B A WilliamsA S Jaffe
Nov 9, 2006·JAMA : the Journal of the American Medical Association·Mihai GheorghiadeUNKNOWN OPTIMIZE-HF Investigators and Coordinators
May 6, 2008·The Journal of Clinical Hypertension·Christos PitsavosUNKNOWN Greek Study of Acute Coronary Syndromes (GREECS) Investigators Group
Jul 1, 2009·Circulation Journal : Official Journal of the Japanese Circulation Society·Yasushi InoTakashi Akasaka
Mar 9, 2010·Journal of cardiology·Jun ShiraishiUNKNOWN AMI-Kyoto Multi-Center Risk Study Group

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Nov 30, 2018·Journal of Investigative Medicine : the Official Publication of the American Federation for Clinical Research·Wen HaoShaoping Nie
Apr 13, 2021·Frontiers in Cardiovascular Medicine·Siyuan ZhaoYan Kang

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