Research Article

NT-proBNP and Major Adverse Cardiovascular Events in Patients with ST-Segment Elevation Myocardial Infarction Who Received Primary Percutaneous Coronary Intervention: A Prospective Cohort Study

Table 1

Baseline characteristics of the participants.

NT-proBNP (pg/mL, min to max)Low (T1) (70–891.3)Middle (T2) (896–2,538)High (T3) (2,540–35,000)

Number135135135
Age (years, mean ± sd)57.27 ± 11.7359.16 ± 11.3364.88 ± 12.39

Sex (n (%))
Female15 (11.11%)22 (16.3%)33 (24.44%)
Male120 (88.89%)113 (83.70%)102 (75.56%)

Hypertension (n (%))
No62 (45.93%)68 (50.37%)47 (34.81%)
Yes73 (54.07%)67 (49.63%)88 (65.19%)

Hyperlipidemia (n (%))
No90 (66.67%)88 (65.19%)92 (68.15%)
Yes45 (33.33%)47 (34.81%)43 (31.85%)

Diabetes (n (%))
No113 (83.7%)105 (77.78%)107 (79.26%)
Yes22 (16.3%)30 (22.22%)28 (20.74%)

Prior MI (n (%))
No131 (97.04%)130 (96.3%)126 (93.33%)
Yes4 (2.96%)5 (3.7%)9 (6.67%)

Smoking (n (%))
No67 (49.63%)85 (62.96%)86 (63.7%)
Yes68 (50.37%)50 (37.04%)49 (36.3%)

Killip class (n (%))
I125 (92.59%)115 (85.19%)89 (65.93%)
II8 (5.93%)11 (8.15%)23 (17.04%)
III1 (0.74%)6 (4.44%)15 (11.11%)
IV1 (0.74%)3 (2.22%)8 (5.93%)
Time from symptom onset to balloon dilatation (h; median, Q1–Q3)6 (4–8)6 (4.5–10)7 (5–11)
Time from admission to balloon dilatation (min; median, Q1–Q3)73 (52.5–96)72 (51–89)73 (54–98)

Number of implanted stents (n (%))
PTCA7 (5.19%)3 (2.22%)6 (4.44%)
1-stent102 (75.56%)101 (74.81%)88 (65.19%)
2-stent24 (17.78%)28 (20.74%)35 (25.93%)
3-stent2 (1.48%)3 (2.22%)6 (4.44%)

Number of used balloons (n (%))
1-balloon111 (82.22%)114 (84.44%)104 (77.04%)
2-balloon23 (17.04%)18 (13.33%)31 (22.96%)
3-balloon1 (0.74%)3 (2.22%)0 (0%)

Pre-PCI TIMI grade (n (%))
TIMI095 (70.37%)95 (70.37%)112 (82.96%)
TIMI120 (14.81%)23 (17.04%)14 (10.37%)
TIMI220 (14.81%)17 (12.59%)9 (6.67%)

Post-PCI TIMI grade (n (%))
TIMI02 (1.49%)1 (0.74%)0 (0%)
TIMI10 (0%)0 (0%)1 (0.74%)
TIMI24 (2.99%)8 (5.93%)9 (6.67%)
TIMI3128 (95.52%)126 (93.33%)125 (92.59%)

Infarction-related artery (n (%))
LM2 (1.48%)3 (2.22%)4 (2.96%)
LAD55 (40.74%)66 (48.89%)74 (54.81%)
LCX19 (14.07%)14 (10.37%)12 (8.89%)
RCA59 (43.7%)52 (38.52%)45 (33.33%)

Use of thrombus aspiration catheter (n (%))
No128 (94.81%)122 (90.37%)128 (94.81%)
Yes7 (5.19%)13 (9.63%)7 (5.19%)

Applied IABP (n (%))
No132 (97.78%)128 (94.81%)118 (87.41%)
Yes3 (2.22%)7 (5.19%)17 (12.59%)

Temporary pacemaker (n (%))
No119 (88.15%)113 (83.70%)115 (85.19%)
Yes16 (11.85%)22 (16.30%)20 (14.81%)

ST-segment resolution (n (%))
No22 (16.3%)34 (25.19%)52 (38.52%)
Yes113 (83.7%)101 (74.81%)83 (61.48%)
CK peak value (U/L; median, Q1–Q3)1,874 (943.5–3,314.65)2,544 (1,491.5–4,349.95)3,032 (1,719–5,258.00)
CK-MB peak value (U/L; median, Q1–Q3)166.6 (78.1–291)227.6 (117.35–356.9)240.9 (155.7–439.4)
TnI peak value (U/L, median, Q1–Q3)5 (1.3–14.4)9.52 (2.4–22.67)12.00 (4.2–25)
NT-proBNP (pg/mL; median, Q1–Q3)485.5 (285–674.4)1,560 (1,139–1,962.5)4,896 (3,510–7,805)

Note. was calculated using the Kruskal–Wallis H test. We divided the NT-proBNP values of all patients into three groups using the tertiles method: low, medium, and high, namely, T1, T2, and T3. LM, left main; LAD, left anterior descending; LCX, left circumflex artery; RCA, right coronary artery; IABP, intra-aortic balloon pump; PTCA, percutaneous transluminal coronary angioplasty; CK, creatine kinase; CK-MB, creatine kinase isoenzyme-MB.