Research Article

The Prognostic Value of Echocardiographic Wall Motion Score Index in ST-Segment Elevation Myocardial Infarction

Table 1

Distribution of variables of interest by all-cause 12-month mortality following acute ST-segment elevation myocardial infarction (STEMI) treated with primary percutaneous intervention (PCI).

VariableAlive (N = 1132)Deceased (N = 49)Total (N = 1181) value

Agea (years)62.0 (12.2)74.5 (12.2)62.5 (12.5)<0.001
Weighta (kg)84.4 (17.7)79.2 (18.8)84.2 (17.7)0.041
BMIb (kg/m2)28.3 (5.1)27.4 (6.0)28.3 (5.1)0.20
eGFRb (mL/min/1.73 m2)79.0 (65.0–90.0)50.0 (43.0–75.0)78.0 (64.0–90.0)<0.001
Male sexc881 (77.8%)34 (69.4%)915 (77.5%)0.17
Diabetesc181 (16.0%)13 (26.5%)194 (16.4%)0.051
Hypertensionc530 (46.8%)26 (53.1%)556 (47.1%)0.39
Dyslipidemiac496 (43.8%)21 (42.9%)517 (43.8%)0.89
Family historyd431 (38.1%)5 (10.2%)436 (36.9%)<0.001
Current smokerc404 (35.7%)13 (26.5%)417 (35.3%)0.19
Previous MId63 (5.6%)5 (10.2%)68 (5.8%)0.20
Previous CABGd28 (2.5%)1 (2.0%)29 (2.5%)1
Previous PCIc101 (8.9%)8 (16.3%)109 (9.2%)0.08
Multivessel diseasec376 (33.2%)25 (51.0%)401 (34.0%)0.01
Multivessel PCIc38 (3.4%)3 (6.1%)49 (4.1%)0.30
TIMI III post PCI1075 (95.0%)42 (85.7%)1117 (94.6%)0.005
Cardiogenic shockc13 (1.1%)6 (12.2%)19 (1.6%)<0.001
DTBb (minutes)46 (32–73)66 (42–83)47 (32–74)0.002
FMCTBb (minutes)100 (84–123)138 (107–167)101 (85–125)<0.001
STBb (minutes)172 (131–262)220 (164–271)173 (132–266)0.012
Anterior infarctc470 (41.5%)30 (61.2%)500 (42.3%)0.006
Drug eluting stentc818 (72.3%)29 (59.2%)847 (71.7%)0.047
Atrial fibrillationc56 (4.9%)5 (10.2%)61 (5.2%)0.1
LVEF%a50.3 (10.2)40.9 (13.7)49.9 (10.5)<0.001
WMSIb1.6 (1.3–1.9)2.2 (1.8–2.5)1.6 (1.3–1.9)<0.001
GRACEb127 (110–144)139 (118–165)127 (110–144)0.003
TIMIb3.0 (2.0–5.0)6.0 (4.0–8.0)3.0 (2.0–5.0)<0.001
WMSI ≥1.8c364 (32.2%)37 (75.5%)401 (34%)<0.001
LVEF <40%c166 (14.7%)25 (51.0%)191 (16.2%)<0.001

Summary statistics: amean (SD) with value derived from Student's t-test; bmedian (IQR) with value derived from Wilcoxon’s rank-sum test; frequency (%) with values from cPearson’s chi-square test or dFisher’s exact test. BMI–Body Mass Index; eGFR–Estimated Glomerular Filtration Rate; MI–Myocardial Infarction; CABG–Coronary artery bypass grafting; PCI–Percutaneous Coronary Intervention; DTB–Door to balloon; FMCTB–First Medical Contact to Balloon; STB–Symptom to Balloon; LVEF–Left Ventricular Ejection Fraction; WMSI–Wall Motion Score Index.