National Trends in the Incidence, Management, and Outcomes of Heart Failure Complications in Patients Hospitalized for ST-Segment Elevation Myocardial Infarction.
National Trends in the Incidence, Management, and Outcomes of Heart Failure Complications in Patients Hospitalized for ST-Segment Elevation Myocardial Infarction.
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DOI：
10.1016/j.mayocpiqo.2017.05.004
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发表时间：
2017-07-01
期刊：
影响因子：
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通讯作者：
Lavie, Carl J
中科院分区：
文献类型：
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作者：
Agarwal, Manyoo;Agrawal, Sahil;Lavie, Carl J
目的：为了分析当代趋势的发病率，管理和心力衰竭（HF）并发症的ST段抬高型心肌梗死（STEMI）住院患者在UnitedStates.Patients和方法：使用2003年至2010年全国住院患者样本数据库，所有患者与STEMI谁是18岁及以上的急性HF被确定。分析了HF发病率、冠状动脉介入治疗和住院死亡率的总体趋势。在1，990，002例主要诊断为STEMI的住院治疗中，（23.7%）发生HF并发症（从2003年的25.4% [95%CI，25.3%-25.6%]降至2010年的20.7% [95%CI，20.5%-20.8%]）（P趋势
OBJECTIVE: To analyze contemporary trends in the incidence, management, and clinical outcomes of heart failure (HF) complications in patients hospitalized for ST-segment elevation myocardial infarction (STEMI) in the United States.PATIENTS AND METHODS: Using the 2003 through 2010 Nationwide Inpatient Sample databases, all patients with STEMI who were 18 years and older with acute HF were identified. Overall trends in the incidence of HF, coronary intervention, and in-hospital mortality were analyzed.RESULTS: Of 1,990,002 hospitalizations with a primary diagnosis of STEMI, 471,525 (23.7%) had HF complication (decreasing from 25.4% [95% CI, 25.3%-25.6%] in 2003 to 20.7% [95% CI, 20.5%-20.8%]) in 2010 (P trend