Objectives To study the coronary angiographic features of patients with cardiogenic shock complicating acute myocardial infarction (AMI).
Methods One hundred and fifty-two consecutive patients with AMI were included in this study. The characteristics, coronary angiographic features of patients were compared between patients with cardiogenic shock (group A 42 cases) and without cardiogenic shock (group A 110 cases).
Results There was no difference in the age, proportion of women, hypertension. the diabetics were significantly higher in group A (42.9%) contrast group B (24.5%) (p < 0.05). LAD occlusion (66.7%) was higher than RCA occlusion (33.3%) in group A (p < 0.05); LAD occlusion was higher in group A than in group B (46.4%)(p < 0.05). Multivessel disease (81.0%) was higher in group A than in group B (65.5%)(p < 0.05).
Conclusions There are the relationship between cardiogenic shock complicated with AMI and vessel coronary artery disease. Initiation PCI supported intra-aortic balloon counter pulsation can improve the outcomes.