Prediction of the Development of Acute Heart Failure of High Grades in Patients with Myocardial Infarction and Percutaneous Coronary Intervention

The aim of the study was to determine risk factors for occurrence acute heart failure (AHF) high degrees (Killip classes III and IV) among patients with myocardial infarction (MI).
 Materials methods. We examined 308 MI who were treated at specialized cardiology department. mean age subjects 62.9±0.6 years. There 161 (52.3%) without signs (HF) class I), 44 (14.3%) combined II AHF, 55 (17.8%) 48 (15.6%) Killip IV AHF. In addition general clinical examination, all underwent additional laboratory examination (quantitative determination troponin I, D-dimer, creatine kinase-MB, C-reactive protein, N-terminal prohormone brain natriuretic peptide [NT-proBNP]), echocardiography lung ultrasound during hospitalization, as well coronary angiography.
 Results. A correlation between AHF (pulmonary edema) (cardiogenic shock) a number anamnestic, clinical, functional indicators established. following predictors development calculated through regression analysis: decrease in level O2 saturation an increase blood pressure localization main attack-related lesion distal part right artery, left ventricular ejection fraction. With less significance, also defined hemoglobin, duration hypertension history, degree hypertension, history any form atrial fibrillation.
 Conclusions. diastolic irrespective medical support NT-proBNP established Further studies predict HF long-term consequences after high-grade are promising can provide opportunity optimize treatment by preventing severe complications.