Predictors of the development of pulmonary hypertension in the subacute period of myocardial infarction in military personne

Pulmonary hypertension negatively affects the prognosis of myocardial infarction. It assessed the influence of various factors on the risk of developing pulmonary hypertension in the subacute period of myocardial infarction in military men to improve the possibilities of its prevention. The study included 82 male military personnel under 60 years of age with verified type I myocardial infarction, 16 (19.5%) of whom it diagnosed with pulmonary hypertension in the subacute period of the disease. All patients underwent a standard clinical diagnostic algorithm twice, in the first 48 hours and at the end of the third week of the disease, in which the mean pressure in the pulmonary artery was determined by echocardiography. Pearson’s Chi-square test was used to calculate the effect of various factors on the risk of developing pulmonary hypertension in the subacute period of myocardial infarction in the examined patients. The following factors had a significant impact on the risk of developing pulmonary hypertension in myocardial infarction in military personnel: age 50 years or more; severe and extremely severe condition of patients in the first hours of the disease, the presence of acrocyanosis; levels of sodium (138.2 mmol/l or more) and triglycerides (3.9 mmol/l or more) in the blood, the value of the left ventricular ejection fraction (47% or more) and the index of the end systolic volume of the left ventricle is less than 18.3 ml/m2 in the first hours of myocardial infarction.