Analysis of the cause of death and treatment in 487 patients with ST-segment elevation acute myocardial infarction(STEMI)

Objective:To evaluate the cause of death in STEMI patiets and to reduce the mortality rate.Methods:From January 2005 to January 2009,487 STEMI patients were involved in this study,The clinical factors of the death of STEMI patients were analyzed,Including age,areas of intervention,re-perfusion therapy,complation,left ventricnle function,the re-ischemic and risk factors.And compared with the survival patients in the same time.Results:There were 53 patients dead in early period and these patients were associated with some risk factors such as: extensive anteriorm cardial infarction,without re-perfusion therapy,post-infarectional heart failure,recurret myocardial ischemic,cardiogenic shock and mechanical complication.There were 26 new dead patinets in one-year fellow-up.The major reason of the death was heare failure of pose-myocardical infarction.Conclusion:Early re-ischemic and properly PCI threaphy may decrease the mortality of STEMI patients.