[10-year mortality of patients admitted to coronary units with or without confirmed diagnosis of myocardial infarction. A relation to anamnesis and diagnosis at discharge].
The ten-year mortality in patients with suspected myocardial infarction with (AMI) and without (non-AMI) confirmed diagnosis was evaluated in 1897 non-AMI patients and 1401 AMI patients who were consecutively admitted to hospital during The Danish Verapamil Infarction Study. The following risk factors contained independent prognostic information about mortality for non-AMI patients: age, previous AMI, sex and diabetes. In patients with AMI the risk factors were: age, previous AMI, clinical heart failure, diabetes and angina pectoris. When the diagnosis at discharge for non-AMI patients was included in the Cox-analysis, only the diagnoses of bronchopneumonia, musculoskeletal disorders and observation only of added prognostic information. We conclude that non-AMI patients are at high risk for mortal events in the long-term. High risk patients can be identified from the medical history and should be carefully evaluated regarding coronary artery disease at the time of discharge in order to improve the risk stratification, treatment and prognosis.
Launbjerg
J
J
Medicinsk afdeling B, Hillerød Sygehus.
Fruergaard
P
P
Madsen
J K
JK
Mortensen
L S
LS
Hansen
J F
JF
D000328:Adult; D000368:Aged; D003325:Coronary Care Units / Q000706:statistics & numerical data; D003718:Denmark / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000188:drug therapy / Q000401:mortality*; D010343:Patient Admission; D010351:Patient Discharge; D011379:Prognosis; D012307:Risk Factors; D013997:Time Factors; D014700:Verapamil / Q000627:therapeutic use
D014700:Verapamil
Tiårsmortalitet for patienter indlagt på koronarafsnit med og uden bekaeftet akut myokardieinfarkt. Relation til anamnese og udskrivelsesdiagnose.