ĐÁNH GIÁ NGUY CƠ CHẢY MÁU Ở BỆNH NHÂN NHỒI MÁU CƠ TIM CẤP ĐƯỢC CAN THIỆP MẠCH VÀNH QUA DA BẰNG THANG ĐIỂM ARC-HBR TẠI BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ NĂM 2022- 2023

Abstract

Background: Acute myocardial infarction (AMI) becomes the big burden disease of society with high morbidity and mortality. Recently, Percutaneous Coronary Intervention (PCI) is the effiency method for patients with AMI, besides, PCI has some dangerous complications, especially, the bleeding events after PCI. ARC – HBR criteria have been proposed as a standardized tool for assessing bleeding risk in patients undergoing PCI, in 2020 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation. Objective: To assess the bleeding risk ‘s AMI patients undergoing PCI by ARC – HBR criteria. Materials and methods: Case series study on 89 AMI patients undergoing PCI at Can Tho Central General Hospital. Results: The ablility of assess bleeding risk in AMI patients undergoing PCI of ARC – HBR criteria was shown to be good with AUC = 0.841 (CI 95%: 0.732 – 0.951). Patients were considered to be at HBR if at least one major criterion or two minor ARC – HBR criteria were met, with a sensitivity 91.7% and specificity 76.6%. Conclusion: The ablility of assess bleeding outcomes in AMI patients undergoing PCI of ARC – HBR criteria was shown to be good, with high sensitivity and specificity. Patients met more and more ARC – HBR criteria, the bleeding outcomes increased.