Document Detail


Predictors of spontaneous predischarge ischemia following acute myocardial infarction.
MedLine Citation:
PMID:  1563129     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To determine if the occurrence and the consequences of spontaneous predischarge postinfarction ischemia could be predicted early after hospital admission, a consecutive series of patients with acute myocardial infarction was studied and followed for 3 years. No patient was treated by thrombolysis. Spontaneous predischarge ischemia was defined as angina that occurred at rest before hospital discharge, at least 3 days after the acute event, and that was accompanied by electrocardiographic changes, but not by an increase in cardiac enzymes. Patients who died within the first 3 days were excluded from analysis. Among the 943 patients who survived at least 3 days, 165 (17.5%) had spontaneous ischemia before discharge. They had a higher 1-year post-hospital mortality (16 vs. 10%), but did not have significantly higher total 3-year mortality rates. Four independent, early available variables predictive of the occurrence of spontaneous ischemia were selected from a stepwise logistic discriminant analysis: history of angina before infarction, non-Q-wave infarct, absence of smoking, and higher age. Among the 165 patients with spontaneous ischemia, 3 independent variables predictive of 3-year mortality were selected stepwise: left ventricular function score, history of previous infarction, and absence of smoking.
Authors:
L A Piérard; A Albert; H E Kulbertus
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Clinical cardiology     Volume:  15     ISSN:  0160-9289     ISO Abbreviation:  Clin Cardiol     Publication Date:  1992 Apr 
Date Detail:
Created Date:  1992-05-21     Completed Date:  1992-05-21     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7903272     Medline TA:  Clin Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  260-4     Citation Subset:  IM    
Affiliation:
Department of Medicine, University Hospital, Liège, Belgium.
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MeSH Terms
Descriptor/Qualifier:
Coronary Disease / epidemiology*,  etiology
Discriminant Analysis
Electrocardiography
Female
Follow-Up Studies
Humans
Incidence
Male
Middle Aged
Myocardial Infarction / complications*
Prognosis
Risk Factors
Smoking / epidemiology
Survival Rate
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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