Contribution of traditional risk factors to 10-year survival in elderly male patients with coronary heart disease

Aim. To estimate the contribution of traditional risk factors to the prediction of fatal outcomes in elderly and senile male patients with coronary heart disease (CHD). Subjects and methods. A 10-year prospective cohort study (from early 1997) included 167 male CHD patients aged 60 years or older (mean age 76,3±0,5 years); a comparison group comprised 38 males (mean age 76,9±1,06) with chronic obstructive pulmonary disease (COPD) without clinical and other signs of CHD. A control group consisted of 32 males over 60 years old without signs of cardiovascular and pulmonary diseases, who had been admitted to the therapeutic unit of the same clinic during the same period. The examined patients were followed up for 10 years, by analyzing the disease course and monitoring fatal events. Results. The probability of predicting 10-year cardiovascular mortality significantly increased the presence of arterial hypertension and low physical activity (OR, 1,67; CI, 1,11–2,51; p=0,01 and OR, 1,454; CI, 1,091–1,393; p=0,01). Elevations of systolic blood pressure up to 150 mm Hg or higher increased the risk of death from all causes in the examined males with CHD by 1.37-fold (p