Declining in-hospital mortality and increasing heart failure incidence in elderly patients with first myocardial infarction.
Declining in-hospital mortality and increasing heart failure incidence in elderly patients with first myocardial infarction.
复制标题
首次发生心肌梗塞的老年患者院内死亡率下降，心力衰竭发生率增加。
DOI：
10.1016/j.jacc.2009.05.080
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发表时间：
2009
影响因子：
24
通讯作者：
J. Cleland
中科院分区：
文献类型：
--
作者：
A. Torabi;A. Rigby;J. Cleland
Ezekowitz et al.(1) report a decreasing overall mortality rate but an increasing incidence of heart failure (HF), especially late-onset HF, in a large cohort of patients with a first myocardial infarction in Alberta between 1994 and 2000. They found that in most patients (76%) who had suffered a myocardial infarction, HF developed. We have published similar data from the United Kingdom in patients from a single, large hospital service who had a first or recurrent myocardial infarction in 1998 (2), and reported that in 63% HF developed over the subsequent 6 years. Interestingly, we reported that 84% of those who died during follow-up first developed HF. Recalculation of data provided by Ezekowitz et al.(1) yields a similar figure (92%) in a somewhat older population (Fig. 1). However, some disparity does exist. Whereas Ezekowitz et al.(1) suggest a relatively modest increase in 5-year mortality in those in whom HF developed, our data suggest a striking difference (Table 1). This most likely reflects differences in diagnostic criteria. We defined HF as intervention with diuretic agents for symptoms or signs of HF; Ezekowitz et al.(1) used hospital codes and billing information, and< 25% of patients coded as HF received diuretic agents.
