Cardiol Res

Cardiology Research, ISSN 1923-2829 print, 1923-2837 online, Open Access

Article copyright, the authors; Journal compilation copyright, Cardiol Res and Elmer Press Inc

Journal website https://www.cardiologyres.org

Original Article

Volume 13, Number 4, August 2022, pages 236-241

The Association Between Admission Heart Failure and In-Hospital Outcomes in ST-Elevation Myocardial Infarction Patients Undergoing Primary Percutaneous Coronary Intervention

Figure 1. The length of CCU stay in STEMI patients with and without heart failure. CCU: coronary care unit; STEMI: ST-elevation myocardial infarction.

Figure 2. In-hospital MACEs in STEMI patients with and without heart failure. MACEs: major adverse cardiac events; STEMI: ST-elevation myocardial infarction.

Figure 4. The length of hospital stay in STEMI patients with and without heart failure. STEMI: ST-elevation myocardial infarction.

**Table 1.** Clinical Characteristics of the Studied Groups
Parameter	Killip I	Killip ≥ II	P
SD: standard deviation; MI: myocardial infarction; CVA: cerebrovascular accident; IDDM: insulin-dependent diabetes mellitus; NIDDM: non-insulin-dependent diabetes mellitus.
Number of patients (%)	190 (90%)	20 (10%)	-
Age (years), mean ± SD	54.99 ± 11.3	59.95 ± 7.62	-
Sex, n (%)
Males	170 (89%)	17 (85%)	0.24
Females	20 (11%)	3 (15%)
Hypertension, n (%)	73 (38%)	8 (40%)	0.98
IDDM, n (%)	6 (3%)	0 (0%)	0.41
NIDDM, n (%)	70 (37%)	10 (50%)	0.33
Smoking, n (%)	113 (59%)	13 (65%)	0.83
Dyslipidemia, n (%)	112 (59%)	14 (70%)	0.49
Previous MI, n (%)	7 (3.7%)	1 (5%)	0.81
Previous CVA, n (%)	1 (0.5%)	0 (0%)	0.74

Table 1. Clinical Characteristics of the Studied Groups

Parameter

Killip I

Killip ≥ II

SD: standard deviation; MI: myocardial infarction; CVA: cerebrovascular accident; IDDM: insulin-dependent diabetes mellitus; NIDDM: non-insulin-dependent diabetes mellitus.

Number of patients (%)

190 (90%)

20 (10%)

Age (years), mean ± SD

54.99 ± 11.3

59.95 ± 7.62

Sex, n (%)

Males

170 (89%)

17 (85%)

0.24

Females

20 (11%)

3 (15%)

Hypertension, n (%)

73 (38%)

8 (40%)

0.98

IDDM, n (%)

6 (3%)

0 (0%)

0.41

NIDDM, n (%)

70 (37%)

10 (50%)

0.33

Smoking, n (%)

113 (59%)

13 (65%)

0.83

Dyslipidemia, n (%)

112 (59%)

14 (70%)

0.49

Previous MI, n (%)

7 (3.7%)

1 (5%)

0.81

Previous CVA, n (%)

1 (0.5%)

0 (0%)

0.74

**Table 2.** The Length of CCU and Hospital Stay, the In-Hospital MACE, and Mortality in Patients With and Without Heart Failure
Clinical parameter	Killip I (n = 190)	Killip ≥ II (n = 20)	P
SD: standard deviation; CCU: coronary care unit; MACEs: major adverse cardiac events.
CCU stay (days), mean ± SD	2.87 ± 1.26	3.6 ± 1.7	0.009
Hospital stay (days), mean ± SD	4.17 ± 1.91	5 ± 2.75	0.124
In-hospital MACE, n (%)	9 (4.7%)	11 (55%)	< 0.001
Heart failure, n (%)	7 (3.7%)	10 (50%)
Major bleeding, n (%)	1 (0.5%)	1 (5%)
Target vessel revascularisation, n (%)	1 (0.5%)	0 (0%)
In-hospital death, n (%)	1 (0.5%)	3 (15%)	< 0.001

Table 2. The Length of CCU and Hospital Stay, the In-Hospital MACE, and Mortality in Patients With and Without Heart Failure

Clinical parameter

Killip I (n = 190)

Killip ≥ II (n = 20)

SD: standard deviation; CCU: coronary care unit; MACEs: major adverse cardiac events.

CCU stay (days), mean ± SD

2.87 ± 1.26

3.6 ± 1.7

0.009

Hospital stay (days), mean ± SD

4.17 ± 1.91

5 ± 2.75

0.124

In-hospital MACE, n (%)

9 (4.7%)

11 (55%)

< 0.001

Heart failure, n (%)

7 (3.7%)

10 (50%)

Major bleeding, n (%)

1 (0.5%)

1 (5%)

Target vessel revascularisation, n (%)

1 (0.5%)

0 (0%)

In-hospital death, n (%)

1 (0.5%)

3 (15%)

< 0.001

**Table 3.** The CCU and Hospital Stay and In-Hospital MACE and Mortality Across Different Grades of Heart Failure
Clinical parameter	Killip II (n = 12)	Killip III - IV (n = 8)	P
SD: standard deviation; CCU: coronary care unit; MACEs: major adverse cardiac events.
CCU stay (days), mean ± SD	3.25 ± 1.54	4.13 ± 1.89	0.069
Hospital stay (days), mean ± SD	4.42 ± 2.47	5.88 ± 3.09	0.077
In-hospital MACE, n (%)	4 (33%)	6 (75%)	0.068
Heart failure, n (%)	4 (33%)	6 (75%)
Major bleeding, n (%)	0 (0%)	1 (12.5%)
In-hospital death, n (%)	2 (16.7%)	1 (12.5%)	0.798

Table 3. The CCU and Hospital Stay and In-Hospital MACE and Mortality Across Different Grades of Heart Failure

Clinical parameter

Killip II (n = 12)

Killip III - IV (n = 8)

SD: standard deviation; CCU: coronary care unit; MACEs: major adverse cardiac events.

CCU stay (days), mean ± SD

3.25 ± 1.54

4.13 ± 1.89

0.069

Hospital stay (days), mean ± SD

4.42 ± 2.47

5.88 ± 3.09

0.077

In-hospital MACE, n (%)

4 (33%)

6 (75%)

0.068

Heart failure, n (%)

4 (33%)

6 (75%)

Major bleeding, n (%)

0 (0%)

1 (12.5%)

In-hospital death, n (%)

2 (16.7%)

1 (12.5%)

0.798