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Ten-year mortality among patients with suspected acute myocardial infarction in relation to early diagnosis
[external].
1994 (English)In: Cardiology, ISSN 0008-6312, E-ISSN 1421-9751, Vol. 84, no 2, 114-120 p.Article in journal (Refereed) Published
Abstract [en]

Previous studies have compared the outcome between patients with and without a confirmed acute myocardial infarction (AMI) mainly during the first few years after its onset. Our aim was to compare the prognosis between patients with and without a confirmed AMI during 10 years of follow-up. Patients participating in an early intervention trial with metoprolol in suspected AMI between 1976 and 1981 took part in this evaluation. The total 10-year mortality rate including hospital mortality was 51% for patients with confirmed AMI as compared with 32% for patients with a possible AMI and 23% for patients in whom AMI was definitely ruled out (p < 0.001). The 10-year mortality after discharge from hospital was in AMI 46%, possible AMI 32% and in definitely ruled out AMI 23% (p < 0.001). When simultaneously considering age, sex, previous history of cardiovascular disease and smoking, the development of AMI appeared as an independent predictor of death (p < 0.001). Thus, among patients hospitalized due to suspected AMI, 10-year mortality after discharge from hospital was directly related to the diagnosis during the first 3 days in hospital.

Place, publisher, year, edition, pages
S. Karger AG , 1994. Vol. 84, no 2, 114-120 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hb:diva-7733Local ID: 2320/8588OAI: oai:DiVA.org:hb-7733DiVA: diva2:888614
Available from: 2015-12-22 Created: 2015-12-22 Last updated: 2017-09-26Bibliographically approved

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