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Heart failure complicating myocardial infarction. A report of the Peruvian Registry of ST-elevation myocardial infarction (PERSTEMI).
- Source :
-
Archivos de cardiologia de Mexico [Arch Cardiol Mex] 2018 Dec; Vol. 88 (5), pp. 447-453. Date of Electronic Publication: 2018 May 01. - Publication Year :
- 2018
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Abstract
- Objectives: The aim of this study is to determine the incidence, associated factors, and 30-day mortality of patients with heart failure (HF) after ST elevation myocardial infarction (STEMI) in Peru.<br />Methods: Observational, cohort, multicentre study was conducted at the national level on patients enrolled in the Peruvian registry of STEMI, excluding patients with a history of HF. A comparison was made with the epidemiological characteristics, treatment, and 30 day-outcome of patients with (Group 1) and without (Group 2) heart failure after infarction.<br />Results: Of the 388 patients studied, 48.7% had symptoms of HF, or a left ventricular ejection fraction <40% after infarction (Group 1). Age>75 years, anterior wall infarction, and the absence of electrocardiographic signs of reperfusion were the factors related to a higher incidence of HF. The hospital mortality in Group 1 was 20.6%, and the independent factors related to higher mortality were age>75 years, and the absence of electrocardiographic signs of reperfusion.<br />Conclusions: Heart failure complicates almost 50% of patients with STEMI, and is associated with higher hospital and 30-day mortality. Age greater than 75 years and the absence of negative T waves in the post-reperfusion ECG are independent factors for a higher incidence of HF and 30-day mortality.<br /> (Copyright © 2018 Instituto Nacional de Cardiología Ignacio Chávez. Publicado por Masson Doyma México S.A. All rights reserved.)
- Subjects :
- Age Factors
Aged
Cohort Studies
Electrocardiography
Female
Heart Failure etiology
Heart Failure mortality
Humans
Incidence
Male
Middle Aged
Peru epidemiology
Registries
ST Elevation Myocardial Infarction mortality
Heart Failure epidemiology
Hospital Mortality
ST Elevation Myocardial Infarction complications
Ventricular Function, Left
Subjects
Details
- Language :
- English
- ISSN :
- 1665-1731
- Volume :
- 88
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Archivos de cardiologia de Mexico
- Publication Type :
- Academic Journal
- Accession number :
- 29728297
- Full Text :
- https://doi.org/10.1016/j.acmx.2018.03.007