The short-term survival following acute myocardial infarction: A prospective observational study

Authors

  • Ali Reza Heidari Health Management and Social Development Research Center, Golestan University of Medical Sciences, Gorgan, Iran
  • Fozieh Bakhsha Laboratory Sciences Research Center, Golestan University of Medical Sciences, Gorgan, Iran
  • Mohammad Aryaie Health Management and Social Development Research Center, Golestan University of Medical Sciences, Gorgan, Iran
  • Sakineh Sobhani Research Committee, Golestan University of Medical Science, Gorgan, Iran
  • Seyyed Yaghub Jafari Laboratory Sciences Research Center, Golestan University of Medical Sciences, Gorgan, Iran
  • Shima Aghili Research Committee, Golestan University of Medical Science, Gorgan, Iran
  • Zahra Yousefi Laboratory Sciences Research Center, Golestan University of Medical Sciences, Gorgan, Iran
  • Zahra Esmaeili Research Committee, Golestan University of Medical Science, Gorgan, Iran
Abstract:

Introduction: To investigate 28 days survival rate following first acute myocardial infarction (AMI) associated with the presence of classical risk factors and treatment modalities in Gorgan, north of Iran. Materials and methods: Our cohort including all patients hospitalized due to AMI from 2010 to 2013. Data were collected on demographic, prophylactic drugs and classical coronary risk factors. Data were analyzed using Kaplan-Meier and log rank tests. Cox proportional hazard model was built to estimate relative risk by taking into account other variables. Results: Median age of subjects was 58 and 64 for men and women, respectively; moreover, the occurrence of diabetes was 52.5 and 24.5 for them. A poorer outcome was detected in survival rate for women in the final model. Excess death occurrence in Fars or non- Persian ethnicity, and those who were not prescribed statin was detected in the adjusted model. Conclusion: A better survival rate for those who were prescribed statin suggest that it could be beneficial in treatment modality and non-Persian ethnicities needed to be considered as a group of at risk for earlier screening programs. In spite of some other studies a poorer outcome following AMI for women was found even after taking into account age and comorbidity.

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Journal title

volume 4  issue 2

pages  9- 16

publication date 2017-03

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