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[Several medical and social factors which may influence in-hospital mortality in patients with myocardial infarction].

Authors :
Kriuchkov DV
Kheraskov VIu
Maksimov SA
Artamonova GV
Source :
Vestnik Rossiiskoi akademii meditsinskikh nauk [Vestn Ross Akad Med Nauk] 2013 (11), pp. 30-3.
Publication Year :
2013

Abstract

Aim: To study the medical and social aspects of in-hospital mortality after myocardial infarction (MI) in the cardiology center of a major industrial city in Western Siberia.<br />Patients and Methods: The material of the study was the database of patients with acute coronary syndrome (19 283 patients), formed by a continuous method retrospectively. The volume of the study were 6463 patients with MI for 2006-2011.<br />Results: In-hospital mortality of patients with MI was 11.8%, with MI complicated by cardiogenic shock--87.4%, in the primary MI--7.4%, during the second MI--22.1%. In-hospital mortality in MI depends on the age of the patients: in group of patients of working age mortality was 4.7%, the retirement age--12.4%, old age--22.7%. In the working-age group mortality in men is almost three times higher than in women. The mortality of patients with MI without reperfusion was 13.4%, in the case of reperfusion therapy--9.2%.<br />Conclusions: Hospital mortality depends on the patient's age, type of MI (primary or repeated), the severity of the condition, applied treatments.

Details

Language :
Russian
ISSN :
0869-6047
Issue :
11
Database :
MEDLINE
Journal :
Vestnik Rossiiskoi akademii meditsinskikh nauk
Publication Type :
Academic Journal
Accession number :
24640728