Trends in the history and fate of patients hospitalized for acute myocardial infarction

Publication date: Available online 13 October 2018Source: Cor et VasaAuthor(s): Vladimír Staněk, Marie Gebauerová, Michael Želízko, Jan Piťha, Rudolf Poledne, Věra Lánská, Jolana Mrázková, Jiří Kettner, Josef KautznerAbstractThe aim of the study is to report on the history of ischemic heart disease (IHD), clinical course and early and late mortality in 1291 middle-aged men (<65 years) hospitalized for acute myocardial infarction in the 2006–2016 period. All patients admitted within 24 h (90% of patients) underwent angiography on arrival; urgent infarct-related artery PCI was performed in 85.4% of all patients; of these 14.6% had PCI on another (non-infarct related) artery PCI while 7.7% had coronary artery bypass grafting (CABG). Primary ventricular fibrillation and cardiogenic shock occurred in 8.6% and 5.1% of patients, respectively. Cardiogenic shock-related mortality was 53%. Twenty-eight-day mortality in our entire patient cohort was 4.8%, with one-year mortality (28 days onward to 1 year) being 1.7%. Long-term mortality of our cohort, monitored until end of 2015, was adversely affected by older age, pre-existing coronary heart disease [finding based on data above previous PCI or CABG, or previous myocardial infarction (p < 0.040)], low left ventricular ejection fraction on admission (p < 0.001; <35%) and manifestations of acute heart failure (shock; Killip III; p < 0.001). A total of 1158 patients liv...
Source: Cor et Vasa - Category: Cardiology Source Type: research