Acute myocardial infarction: predictors of mortality at a public hospital in the city of Fortaleza, Ceará state
Autor(a) principal: | |
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Data de Publicação: | 2003 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos Brasileiros de Cardiologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2003000600004 |
Resumo: | OBJECTIVE: To identify the clinical and demographic predictors of in-hospital mortality in acute myocardial infarction with elevation of the ST segment in a public hospital, in the city of Fortaleza, Ceará state, Brazil. METHODS: A retrospective study of 373 patients experiencing their first episode of acute myocardial infarction was carried out. Of the study patients, 289 were discharged from the hospital (group A) and 84 died (group B). Both groups were analyzed regarding: sex; age; time elapsed from the beginning of the symptoms of myocardial infarction to assistance at the hospital; use of streptokinase; risk factors for atherosclerosis; electrocardiographic location of myocardial infarct; and Killip functional class. RESULTS: In a univariate analysis, group B had a greater proportion of the following parameters as compared with group A: non-Killip I functional class; diabetes; age >70 years; infarction of the inferior wall associated with right ventricular impairment; time between symptom onset and treatment at the hospital >12 h; anteroseptal or extensive anterior infarction; no use of streptokinase; and no tobacco use. In a multivariate logistic regression analysis, only non-Killip I functional class, diabetes, and age >70 years persisted as independent factors for death. CONCLUSION: Non-Killip I functional class, diabetes, and age >70 years were independent predictors of mortality in acute myocardial infarction with elevation of the ST segment. |
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Acute myocardial infarction: predictors of mortality at a public hospital in the city of Fortaleza, Ceará statemyocardial infarctionin-hospital mortalityKillip functional classdiabetes mellituselderlyOBJECTIVE: To identify the clinical and demographic predictors of in-hospital mortality in acute myocardial infarction with elevation of the ST segment in a public hospital, in the city of Fortaleza, Ceará state, Brazil. METHODS: A retrospective study of 373 patients experiencing their first episode of acute myocardial infarction was carried out. Of the study patients, 289 were discharged from the hospital (group A) and 84 died (group B). Both groups were analyzed regarding: sex; age; time elapsed from the beginning of the symptoms of myocardial infarction to assistance at the hospital; use of streptokinase; risk factors for atherosclerosis; electrocardiographic location of myocardial infarct; and Killip functional class. RESULTS: In a univariate analysis, group B had a greater proportion of the following parameters as compared with group A: non-Killip I functional class; diabetes; age >70 years; infarction of the inferior wall associated with right ventricular impairment; time between symptom onset and treatment at the hospital >12 h; anteroseptal or extensive anterior infarction; no use of streptokinase; and no tobacco use. In a multivariate logistic regression analysis, only non-Killip I functional class, diabetes, and age >70 years persisted as independent factors for death. CONCLUSION: Non-Killip I functional class, diabetes, and age >70 years were independent predictors of mortality in acute myocardial infarction with elevation of the ST segment.Sociedade Brasileira de Cardiologia - SBC2003-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2003000600004Arquivos Brasileiros de Cardiologia v.80 n.6 2003reponame:Arquivos Brasileiros de Cardiologia (Online)instname:Sociedade Brasileira de Cardiologia (SBC)instacron:SBC10.1590/S0066-782X2003000600004info:eu-repo/semantics/openAccessRibeiro,Demóstenes Gonçalves LimaAndrade,Pedro José Negreiros dePaes Júnior,José NogueiraSaraiva,Lurildo Ribeiroeng2003-07-02T00:00:00Zoai:scielo:S0066-782X2003000600004Revistahttp://www.arquivosonline.com.br/https://old.scielo.br/oai/scielo-oai.php||arquivos@cardiol.br1678-41700066-782Xopendoar:2003-07-02T00:00Arquivos Brasileiros de Cardiologia (Online) - Sociedade Brasileira de Cardiologia (SBC)false |
dc.title.none.fl_str_mv |
Acute myocardial infarction: predictors of mortality at a public hospital in the city of Fortaleza, Ceará state |
title |
Acute myocardial infarction: predictors of mortality at a public hospital in the city of Fortaleza, Ceará state |
spellingShingle |
Acute myocardial infarction: predictors of mortality at a public hospital in the city of Fortaleza, Ceará state Ribeiro,Demóstenes Gonçalves Lima myocardial infarction in-hospital mortality Killip functional class diabetes mellitus elderly |
title_short |
Acute myocardial infarction: predictors of mortality at a public hospital in the city of Fortaleza, Ceará state |
title_full |
Acute myocardial infarction: predictors of mortality at a public hospital in the city of Fortaleza, Ceará state |
title_fullStr |
Acute myocardial infarction: predictors of mortality at a public hospital in the city of Fortaleza, Ceará state |
title_full_unstemmed |
Acute myocardial infarction: predictors of mortality at a public hospital in the city of Fortaleza, Ceará state |
title_sort |
Acute myocardial infarction: predictors of mortality at a public hospital in the city of Fortaleza, Ceará state |
author |
Ribeiro,Demóstenes Gonçalves Lima |
author_facet |
Ribeiro,Demóstenes Gonçalves Lima Andrade,Pedro José Negreiros de Paes Júnior,José Nogueira Saraiva,Lurildo Ribeiro |
author_role |
author |
author2 |
Andrade,Pedro José Negreiros de Paes Júnior,José Nogueira Saraiva,Lurildo Ribeiro |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Ribeiro,Demóstenes Gonçalves Lima Andrade,Pedro José Negreiros de Paes Júnior,José Nogueira Saraiva,Lurildo Ribeiro |
dc.subject.por.fl_str_mv |
myocardial infarction in-hospital mortality Killip functional class diabetes mellitus elderly |
topic |
myocardial infarction in-hospital mortality Killip functional class diabetes mellitus elderly |
description |
OBJECTIVE: To identify the clinical and demographic predictors of in-hospital mortality in acute myocardial infarction with elevation of the ST segment in a public hospital, in the city of Fortaleza, Ceará state, Brazil. METHODS: A retrospective study of 373 patients experiencing their first episode of acute myocardial infarction was carried out. Of the study patients, 289 were discharged from the hospital (group A) and 84 died (group B). Both groups were analyzed regarding: sex; age; time elapsed from the beginning of the symptoms of myocardial infarction to assistance at the hospital; use of streptokinase; risk factors for atherosclerosis; electrocardiographic location of myocardial infarct; and Killip functional class. RESULTS: In a univariate analysis, group B had a greater proportion of the following parameters as compared with group A: non-Killip I functional class; diabetes; age >70 years; infarction of the inferior wall associated with right ventricular impairment; time between symptom onset and treatment at the hospital >12 h; anteroseptal or extensive anterior infarction; no use of streptokinase; and no tobacco use. In a multivariate logistic regression analysis, only non-Killip I functional class, diabetes, and age >70 years persisted as independent factors for death. CONCLUSION: Non-Killip I functional class, diabetes, and age >70 years were independent predictors of mortality in acute myocardial infarction with elevation of the ST segment. |
publishDate |
2003 |
dc.date.none.fl_str_mv |
2003-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2003000600004 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2003000600004 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0066-782X2003000600004 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Cardiologia - SBC |
publisher.none.fl_str_mv |
Sociedade Brasileira de Cardiologia - SBC |
dc.source.none.fl_str_mv |
Arquivos Brasileiros de Cardiologia v.80 n.6 2003 reponame:Arquivos Brasileiros de Cardiologia (Online) instname:Sociedade Brasileira de Cardiologia (SBC) instacron:SBC |
instname_str |
Sociedade Brasileira de Cardiologia (SBC) |
instacron_str |
SBC |
institution |
SBC |
reponame_str |
Arquivos Brasileiros de Cardiologia (Online) |
collection |
Arquivos Brasileiros de Cardiologia (Online) |
repository.name.fl_str_mv |
Arquivos Brasileiros de Cardiologia (Online) - Sociedade Brasileira de Cardiologia (SBC) |
repository.mail.fl_str_mv |
||arquivos@cardiol.br |
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1752126552561156096 |