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Prevalence and prog...
Prevalence and prognostic impact of left ventricular systolic dysfunction or pulmonary congestion after acute myocardial infarction.
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- Hamilton, Eleonora (författare)
- Karolinska Institutet,Danderyd Hosp, Sweden; Danderyd Hosp, Sweden
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- Desta, Liyew (författare)
- Karolinska Institutet,Karolinska Institute,Karolinska Inst, Sweden
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- Lundberg, Anna (författare)
- Novartis, Taby, Sweden.
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- Alfredsson, Joakim (författare)
- Linköpings universitet,Linköping University,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US
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- Christersson, Christina (författare)
- Karolinska Institutet,Uppsala University,Uppsala universitet,Kardiologi,Uppsala Univ, Sweden
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- Erlinge, David (författare)
- Lund University,Lunds universitet,Molekylär kardiologi,Forskargrupper vid Lunds universitet,Molecular Cardiology,Lund University Research Groups,Skåne University Hospital,Lund Univ, Sweden
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- Kellerth, Thomas (författare)
- Örebro University,Orebro Univ, Sweden
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- Lindmark, Krister (författare)
- Karolinska Institutet,Umeå University,Umeå universitet,Kardiologi,Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden,Danderyd Hosp, Karolinska Inst, Dept Clin Sci, Stockholm, Sweden.;Umeå Univ, Heart Ctr, Dept Publ Hlth & Clin Med, Umeå, Sweden.
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- Omerovic, Elmir, 1968 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine,Department of Cardiology, Sahlgrenska University Hospital Institute of Medicine, Department of Molecular and Clinical Medicine, Academy at University of Gothenburg, Gothenburg, Sweden,Acad Univ Gothenburg, Sahlgrenska Univ Hosp, Inst Med, Dept Mol & Clin Med,Dept Cardiol, Gothenburg, Sweden.
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- Reitan, Christian (författare)
- Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden,Danderyd Hosp, Karolinska Inst, Dept Clin Sci, Stockholm, Sweden.
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- Jernberg, Tomas (författare)
- Karolinska Institutet,Danderyd Hosp, Sweden
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(creator_code:org_t)
- 2023-02-02
- 2023
- Engelska.
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Ingår i: ESC heart failure. - : Wiley. - 2055-5822. ; 10:2, s. 1347-1357
- Relaterad länk:
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https://doi.org/10.1...
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https://umu.diva-por... (primary) (Raw object)
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http://dx.doi.org/10... (free)
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://urn.kb.se/re...
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https://lup.lub.lu.s...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- The aim was to describe the prevalence, characteristics, and outcome of patients with acute myocardial infarction (MI) developing left ventricular (LV) systolic dysfunction or pulmonary congestion by applying different criteria to define the population.In patients with MI included in the Swedish web-system for enhancement and development of evidence-based care in heart disease (SWEDEHEART) registry, four different sets of criteria were applied, creating four not mutually exclusive subsets of patients: patients with MI and ejection fraction (EF)<50% and/or pulmonary congestion (subset 1); EF<40% and/or pulmonary congestion (subset 2); EF<40% and/or pulmonary congestion and at least one high-risk feature (subset 3, PARADISE-MI like); and EF<50% and no diabetes mellitus (subset 4, DAPA-MI like). Subsets 1, 2, 3, and 4 constituted 31.6%, 15.0%, 12.8%, and 22.8% of all patients with MI (n=87177), respectively. The age and prevalence of different co-morbidities varied between subsets. For median age, 70 to 77, for diabetes mellitus, 22 to 33%; for chronic kidney disease, 22 to 38%, for prior MI, 17 to 21%, for atrial fibrillation, 7 to 14%, and for ST-elevations, 38 to 50%. The cumulative incidence of death or heart failure hospitalization at 3years was 17.4% (95% CI: 17.1-17.7%) in all MIs; 26.9% (26.3-27.4%) in subset 1; 37.6% (36.7-38.5%) in subset 2; 41.8% (40.7-42.8%) in subset 3; and 22.6% (22.0-23.2%) in subset 4.Depending on the definition, LV systolic dysfunction or pulmonary congestion is present in 13-32% of all patients with MI and is associated with a two to three times higher risk of subsequent death or HF admission. There is a need to optimize management and improve outcomes for this high-risk population.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- Heart failure
- Left ventricular dysfunction
- Mortality
- Myocardial infarction
- Prevalence
- Heart failure
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Hamilton, Eleono ...
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Desta, Liyew
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Lundberg, Anna
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Alfredsson, Joak ...
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Christersson, Ch ...
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Erlinge, David
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Kellerth, Thomas
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Lindmark, Kriste ...
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Omerovic, Elmir, ...
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Reitan, Christia ...
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Jernberg, Tomas
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- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Kardiologi
- Artiklar i publikationen
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ESC heart failur ...
- Av lärosätet
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Göteborgs universitet
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Umeå universitet
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Uppsala universitet
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Lunds universitet
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Karolinska Institutet
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Linköpings universitet