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CALATRAVA-LÓPEZ
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Tytuł oryginału:
Clinical implications of acute mycoardial infarction complicated by high grade atrioventricular block.
Autorzy:
Ruiz-Bailn
Manuel,
Hoyos
Eduardo Aguayo de,
Issa-Khozouz
Ziad,
Diaz-Castellanos
Miguel Angel,
López-Martinez
Asunción,
Calatrava-López
Jess,
Barranco-Ruiz
Mercedes,
Ruiz-Ferrón
Francisco,
Muńoz-Beltran
Humberto Jos
Źródło:
Med. Sci. Monitor 2002: 8 (3) s.CR138-CR147, tab., bibliogr. 35 poz.
Sygnatura GBL:
313,278
Hasła klasyfikacyjne GBL:
kardiologia
Typ dokumentu:
praca kliniczna
tytuł obcojęzyczny
Wskaźnik treści:
ludzie
dorośli = 65 r.ż.
płeć męska
płeć żeńska
Streszczenie angielskie:
Background: The purpose of this study was to assess the incidence, clinical course, prognosis and mean length of stay in acute myocardial infarction (AMI) complicated by high-grade atrioventricular block (HAVB). Material/Methods: A retrospective cohort study including all AMI patietns listed from january 1995 to September 2000 in the ARIAM multi-center register. Univariate analysis was carried out to study the factors associated with the development of HAVB, the mortality ratek, and the mean length of stay, and multivariate logistic regression analysis to study whether HAVB is an independent predictive variable for mortality or prolongation of stay. Results: Of the 14.181 AMI patients included int he register, 837 (5.9 p.c.) presented with HAVB, which was associated with age, female sex, increased severity, diabetes, inferior and Q-wave AMIs, and a higher peak creatine phosphokinase (CPK) level. The HAVB patietns developed more complications, required more diagnostic-therapeutic resources, and showed significantly higher mortality (p 0.0001) and increased mean length of stay (p 0.0001). The independent risk factors for HAVB were age, maximum peak CPK, inferior or combined localization of the AMI, Q-wave AMI, diabetes, a Killip and Kimbal score 1, and thrombolysis. HAVB was found to be an independent predictive vairable for mortality and increased mean length of stay. Conclusions: AMI patients with HAVB, despite thrombolytic treatment, are at risk for complications, amortality and longer mean admissions. Further study is needed on the outcome of a more active reperfusion policy, such as direct, rescue angioplasty etc.
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