CardioSource WorldNews Interventions

CardioSource
WorldNews

vol 4, no 2 / MARCH/APRIL 2015

A publication of the
American College
of Cardiology

INTERVENTIONS

SUDDEN
CARDIAC
D E AT H
post-PCI and post-MI

15
in

post-PCI
patients are at

Ejection Fraction

high risk of dying.

(1)

is the most powerful predictor
of long-term mortality.(1)

The majority of mortality
in post-PCI patients
with low EF occurs in the

2.5

2.0

3

first

2.5

2.0

1.5

months.(1)

LVEF ≤ 30% (n=3852)
LVEF 31-40% (n=4998)

1.0

Assess It.
Discuss It.
Prevent It.

The risk of SCD post-MI
is highest during the
first 30 days. (2,3)

1.5

Rate of Sudden Death or
Cardiac Arrest with Resuscitation
(%/mo)

1.0

EF > 40% (n=2406)

Post-MI patients with HF are at

4-6 times

0.5

0.5

greater risk of SCD in the

first 30 days

1 2 3 4 5 6

12

24

36

48

after MI. (2,3)

MI

85%

HF+MI

3

month
mortality

BOTTOM LINE

1in10

high-risk post-PCI patients die,
with about

first 3 months
post-PCI.(1)

The CADILLAC Trial

High-risk post-PCI patients
experience significant
mortality during recovery
from revascularization.

of 1 year mortality
occurs in the

60%

post-PCI (1)

11%

Cleveland Clinic Registry

13%
12%

EF ≤35% - post-PCI (4)
Without
STEMI

32%

CATH PCI - NCDR Registry
EF <30%
post-PCI >65yo (5)

With
STEMI

of this mortality
due to

SUDDEN CARDIAC DEATH.

(1,6)

SOURCES: 1. Halkin A et al. Prediction of Mortality After Primary Percutaneous Coronary Intervention for Acute Myocardial Infarction: CADILLAC Risk Score. JACC 2005;45:1397–1405. 2. Adabag AS
et al. Sudden Death After Myocardial Infarction. JAMA 2008;300:2022–2029. 3. Solomon SD et al. Sudden Death in Patients with Myocardial Infarction and Left Ventricular Dysfunction, Heart Failure,
or Both. NEJM 2005;352:2581–2588. 4. Zishiri ET et al. Early Risk of Mortality after Coronary Artery Revascularization in Patients with Left Ventricular Dysfunction and Potential Role of the Wearable
Cardioverter Defibrillator. Circulation: Arrhythmia and Electrophysiology.2013;6:117–128. 5. Weintraub WS et al. Prediction of Long-Term Mortality After Percutaneous Coronary Intervention in
Older Adults: Results From the National Cardiovascular Data Registry. Circulation: 2012;125:1501–1510. 6. Stone G et al. Prevention of Sudden Cardiac Arrest Post PTCA in High-Risk Patients.
http://www.theheart.org/article/1202823.do (April 2011).
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