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Göteborgs universitets publikationer

Epidemiology of acute myocardial infarction with the emphasis on patients who did not reach the coronary care unit and non-AMI admissions

Författare och institution:
Johan Herlitz (Institutionen för medicin, avdelningen för molekylär och klinisk medicin); Mikael Dellborg (Institutionen för medicin, avdelningen för akut och kardiovaskulär medicin); Thomas Karlsson (Institutionen för medicin, avdelningen för molekylär och klinisk medicin); Maria Haglid Evander (Institutionen för medicin, avdelningen för molekylär och klinisk medicin); A. Berger (-); R. Luepker (-)
Publicerad i:
International Journal of Cardiology, 128 ( 3 ) s. 342-349
Artikel, refereegranskad vetenskaplig
Sammanfattning (abstract):
OBJECTIVES: To describe the characteristics and outcome of patients with acute myocardial infarction (AMI) in a community, with particular emphasis on those who never reached a Coronary Care Unit (CCU) and those in whom the primary diagnosis was something other than a heart attack. METHODS: Patients hospitalised in the city of Goteborg, Sweden, and discharged (dead or alive) with a diagnosis of AMI. RESULTS: Among 1423 patient admissions the mean overall age was 75 years (81 years and 79 years in the two subsets). Among all patients, 33% had a history of heart failure and 20% had a history of cerebrovascular disease. The figures were even higher in the two subsets which were evaluated. In overall terms, an invasive strategy (coronary angiography) was used in 32% (in 5% and 9% in the two subsets respectively). The overall one-year and three-year mortality rate was 30% and 44% respectively. The three-year mortality rate among patients not admitted to a CCU was 65% and, among patients with no suspicion of a heart attack on admission, it was 68%. CONCLUSION: Even in the 21st century, patients with AMI who reach hospital alive run a high risk of death and nearly half are dead within the first three years. In overall terms, patients are characterised by high age and high co-morbidity. Among patients who do not reach a CCU and among patients with no suspicion of AMI on admission, approximately two thirds are dead within the subsequent three years.
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
Klinisk medicin ->
Acute myocardial infarction; Prognosis; Coronary care
Postens nummer:
Posten skapad:
2009-01-14 14:24
Posten ändrad:
2011-12-06 13:59

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