Objective:
To investigate the predictive value of the
PRECISE-DAPT score for the development of arrhythmias in patients with ST-segment elevation myocardial infarction undergoing primary percutaneous coronary intervention.
Method:
A total of 706 patients with a diagnosis of ST-segment elevation myocardial infarction who underwent primary percutaneous coronary intervention were enrolled to the study. The patients were divided into two groups according to the
PRECISE-DAPT score (
PRECISE-DAPT score ≥25 and
PRECISE-DAPT score <25). The patients were compared in terms of in-hospital arrhythmia.
Results:
High-degree
atrioventricular block (second-degree Mobitz II or third-degree
atrioventricular block) (17.2% vs. 4.9%;
P < 0.001),
ventricular tachycardia (11.2% vs. 4.6%;
P = 0.005) and
atrial fibrillation (13.8% vs. 3.1%;
P < 0.001) rates were statistically higher in patients with higher
PRECISE-DAPT score (≥25). There was no difference between the groups in terms of ventricular fibrillation (9.5% vs. 8.3%;
P = 0.678). In multivariable logistic regression analysis;
PRECISE-DAPT Score was independently associated with high-degree
atrioventricular block (odds ratio: 6.38,
P < 0.001) and
atrial fibrillation (odds ratio: 4.33,
P < 0.001).
Conclusion:
The
PRECISE-DAPT score was associated with high-degree
atrioventricular block and
atrial fibrillation in patients with ST-segment elevation myocardial infarction underwent percutaneous coronary intervention.
