Back to Search Start Over

Heart failure complicating myocardial infarction. A report of the Peruvian Registry of ST-elevation myocardial infarction (PERSTEMI).

Authors :
Chacón-Diaz M
Araoz-Tarco O
Alarco-León W
Aguirre-Zurita O
Rosales-Vidal M
Rebaza-Miyasato P
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

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.)

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