{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T11:42:48Z","timestamp":1777290168288,"version":"3.51.4"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,3,17]],"date-time":"2017-03-17T00:00:00Z","timestamp":1489708800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the ability of simple hemodynamic parameters obtained at the time of cardiac catheterization to predict in\u2010hospital mortality following ST\u2010elevation myocardial infarction (STEMI).<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Hemodynamic parameters measured at the time of primary percutaneous coronary intervention (PPCI) could potentially identify high\u2010risk patients who would benefit from aggressive hemodynamic support in the Cardiac Catheterization laboratory.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This is a retrospective single\u2010center study of 219 consecutive patients with STEMI. Left ventricular end\u2010diastolic pressure (LVEDP), systolic blood pressure (SBP), and aortic diastolic blood pressure were obtained after successful revascularization. The prognostic ability of LVEDP, pulse pressure, and SBP\/LVEDP ratio were compared to major mortality risk scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients had a mean age of 60 \u00b114 years, were predominantly white (73%), male (64%), with anterior wall infarcts in 39%. Comorbidities included diabetes mellitus (27%), heart failure (9%), and chronic kidney disease (7%). In\u2010hospital mortality was 9%. Patients with SBP\/LVEDP\u2009\u2264\u20094 had increased risk of in\u2010hospital death (32% vs. 5.3%, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.0001), intra\u2010aortic balloon pump (IABP) usage (51.6% vs. 9.6%, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.0001) and combined endpoint of death or IABP usage (58.1% vs. 13.3%, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.0001) compared to patients with SBP\/LVEDP\u2009&gt;\u20094. The area under curve (AUC) for SBP\/LVEDP ratio for in\u2010hospital mortality (0.69) was more predictive than LVEDP (0.61, <jats:italic>P<\/jats:italic>\u2009=\u20090.04) or pulse pressure (0.55, <jats:italic>P<\/jats:italic>\u2009=\u20090.02) but similar to Shock Index (ratio of heart rate to SBP) and Modified Shock Index (ratio of HR to mean arterial pressure).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>An SBP\/LVEDP ratio\u2009\u2264\u20094 identified a group of STEMI patients at high risk of in\u2010hospital death. \u00a9 2017 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.26963","type":"journal-article","created":{"date-parts":[[2017,3,17]],"date-time":"2017-03-17T05:53:08Z","timestamp":1489729988000},"page":"389-395","source":"Crossref","is-referenced-by-count":13,"title":["Ratio of systolic blood pressure to left ventricular end\u2010diastolic pressure at the time of primary percutaneous coronary intervention predicts 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