Higher Long-Term Mortality in Patients with Non-ST-Elevation Myocardial Infarction than ST-Elevation Myocardial Infarction after Discharge.
Acute myocardial infarction
prognosis
risk factors
Journal
Yonsei medical journal
ISSN: 1976-2437
Titre abrégé: Yonsei Med J
Pays: Korea (South)
ID NLM: 0414003
Informations de publication
Date de publication:
May 2021
May 2021
Historique:
received:
03
09
2020
revised:
04
03
2021
accepted:
09
03
2021
entrez:
28
4
2021
pubmed:
29
4
2021
medline:
30
4
2021
Statut:
ppublish
Résumé
This study aimed to compare mortality rates after discharge between the patients with non-ST-elevation myocardial infarction (NSTEMI) and those with ST-elevation myocardial infarction (STEMI), and identify each mortality risk factors in these two types of myocardial infarction. Between 2011 and 2015, 13105 consecutive patients were enrolled in the Korea Acute Myocardial Infarction-National Institute of Health registry (KAMIR-NIH); 12271 patients with acute myocardial infarction met the inclusion criteria and were further stratified into the STEMI (n=5828) and NSTEMI (n=6443) groups. The occurrence of mortality and cardiac mortality at 3 years were compared between groups, and the factors associated with mortality for NSTEMI and STEMI were evaluated. The comparison between these two groups and long-term follow-up outcomes showed that the cumulative rates of all-cause and cardiac mortality were higher in the NSTEMI group than in the STEMI group [all-cause mortality: 10.9% vs. 5.8%; hazards ratio (HR), 0.464; 95% confidence interval (CI), 0.359-0.600, The NSTEMI group had higher mortality compared to the STEMI group during the 3-year clinical follow-up after discharge. Low LVEF and no PCI were the main risk factors for mortality in the NSTEMI group. In contrast, old age and renal dysfunction were the risk factors for long-term mortality in the STEMI group.
Identifiants
pubmed: 33908210
pii: 62.400
doi: 10.3349/ymj.2021.62.5.400
pmc: PMC8084695
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
400-408Subventions
Organisme : Korea Centers for Disease Control and Prevention
ID : 2016-ER6304-02
Pays : Republic of Korea
Informations de copyright
© Copyright: Yonsei University College of Medicine 2021.
Déclaration de conflit d'intérêts
The authors have no potential conflicts of interest to disclose.
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