GIÁ TRỊ TIÊN LƯỢNG BIẾN CỐ TIM MẠCH CỦA THANG ĐIỂM ZWOLLE Ở BỆNH NHÂN NHỒI MÁU CƠ TIM CẤP SAU CAN THIỆP ĐỘNG MẠCH VÀNH QUA DA

Abstract

Objective: Predictive value of cardiovascular events of the Zwolle score in patients with acute myocardial infarction after percutaneous coronary intervention. Subjects and methods: A cross-sectional descriptive study on 100 patients with ST-segment elevation myocardial infarction after percutaneous coronary intervention at Can Tho Central General Hospital from 2020–2021. Results: The proportion of a low-risk group, according to Zwolle, accounted for 52%; the group with average risk was 48%; and the mean Zwolle score was 3.30 ± 1.49 points. Cardiovascular events occurred at a rate of 15% after 30 days of intervention, with mortality accounting for 2%, heart failure or angina pectoris accounting for 10%, recurrent MI accounting for 2%, and re-intervention or surgery accounting for 1%. There was a significant association between the Zwolle prognostic index subgroup and the main cardiovascular event 30 days after the intervention (p<0.001). The Zwolle cut-off point of 4.5 was the best cut-off for predicting the occurrence of major cardiovascular events with 100% sensitivity, 98.8% specificity, and an AUC of 0.996. Conclusion: The risk of cardiovascular events was higher when the score of Zwolle increased.