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Ten-year mortality ...
Ten-year mortality among patients with suspected acute myocardial infarction in relation to early diagnosis
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- Herlitz, Johan (author)
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Karlson, BW (author)
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Hjalmarson, Å (author)
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(creator_code:org_t)
- S. Karger AG, 1994
- 1994
- English.
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In: Cardiology. - : S. Karger AG. - 0008-6312 .- 1421-9751. ; 84:2, s. 114-120
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https://urn.kb.se/re...
Abstract
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- Previous studies have compared the outcome between patients with and without a confirmed acute myocardial infarction (AMI) mainly during the first few years after its onset. Our aim was to compare the prognosis between patients with and without a confirmed AMI during 10 years of follow-up. Patients participating in an early intervention trial with metoprolol in suspected AMI between 1976 and 1981 took part in this evaluation. The total 10-year mortality rate including hospital mortality was 51% for patients with confirmed AMI as compared with 32% for patients with a possible AMI and 23% for patients in whom AMI was definitely ruled out (p < 0.001). The 10-year mortality after discharge from hospital was in AMI 46%, possible AMI 32% and in definitely ruled out AMI 23% (p < 0.001). When simultaneously considering age, sex, previous history of cardiovascular disease and smoking, the development of AMI appeared as an independent predictor of death (p < 0.001). Thus, among patients hospitalized due to suspected AMI, 10-year mortality after discharge from hospital was directly related to the diagnosis during the first 3 days in hospital.
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