Incidence and Clinical Features of Acute Lung Injury/ Adult Respiratory Distress Syndrome Complicating Acute Myocardial Infarction Patients Treated with Primary Angioplasty

摘要

The aim of this study was to investigate incidence and clinical features of acute lung injury/acute respiratory distress syndrome (ALI/ARDS) complicating acute myocardial infarction (AMI) patients treated with Primary Coronary intervention (PCI). Clinical records of 395 patients treated in a tertiary hospital from 2004 to 2008 were reviewed. The presence of ALI/ARDS diagnostic criteria were investigated. We found 5 ALI/ARDS patients (1,26%). All of them were male, mean age 54.6+-13.6 years. AMI location was inferior in 3 patients and anterolateral in 2. Time delays until reperfusion 191+-99 min, Mean left ventricular ejection fraction was 47+-17,5%. One of 5 patients (20%) died. Iin our experience, ALI/ARDS complicating AMI treated with ICP is infrequent, however it exert an important influence on patient outcomes.