Table 4.
Inhospital Procedures in Patients With Cardiogenic Shock Complicating ST‐Elevation Myocardial Infarction
| Procedure | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | P Value* |
|---|---|---|---|---|---|---|---|---|---|
| No. of cases (weighted) | 21 387 | 19 066 | 18 632 | 19 658 | 18 768 | 20 349 | 20 459 | 19 575 | — |
| Left heart catheterization | 64.1% | 64.5% | 66.4% | 67.2% | 70.0% | 72.5% | 74.9% | 74.4% | <0.001 |
| Swan‐Ganz catheterization | 9.8% | 9.1% | 7.9% | 7.2% | 6.7% | 6.9% | 6.8% | 6.2% | <0.001 |
| Thrombolysis | 2.9% | 2.9% | 2.1% | 2.3% | 1.9% | 2.4% | 3.5% | 3.6% | <0.001 |
| PCI | |||||||||
| Total | 45.2% | 47.7% | 50.4% | 56.4% | 57.1% | 60.9% | 63.3% | 66.0% | <0.001 |
| Early* | 26.6% | 27.7% | 32.5% | 36.6% | 38.4% | 43.2% | 49.3% | 53.8% | <0.001 |
| CABG | |||||||||
| Total | 15.4% | 14.5% | 16.6% | 16.9% | 15.7% | 16.5% | 14.9% | 12.9% | <0.001 |
| Early* | 4.5% | 5.1% | 5.5% | 5.7% | 5.3% | 6.2% | 5.7% | 4.7% | 0.003 |
| IABP placement | |||||||||
| Total | 44.8% | 45.0% | 48.3% | 51.9% | 51.5% | 53.2% | 54.5% | 53.7% | <0.001 |
| Early* | 26.2% | 26.1% | 30.0% | 32.5% | 34.0% | 35.9% | 41.3% | 41.0% | <0.001 |
| Blood transfusion | 10.4% | 12.3% | 12.9% | 11.6% | 14.7% | 14.2% | 15.0% | 12.7% | <0.001 |
CABG indicates coronary artery bypass grafting; IABP, intra‐aortic balloon pump; PCI, percutaneous coronary intervention.
*
P value for trend.
*
Within 24 hours of admission.