title: [Age is the independent prognostic factor in acute myocardial infarct. The clinical course of infarct in the elderly patient].
abstract: We analyze the influence of age in the evolution of patients with acute myocardial infarction admitted to our Coronary Care Unit throughout two years (1990 and 1991). All 542 patients admitted during this period were classified in three groups: 299 less than 65 year old (group A), 170 between 65 and 74 year old (group B), and 73 with 75 year old or more (group C). Aged patients had a worse clinical condition, with significantly more previous heart failure, diabetes or hypertension, and the Killip's class was worse in group C than in group B, and worse in this than in group A (p = 0.00000). The mortality rate was 6.7% in group A, 12.9% in group B, and 31.5% group C (p = 0.00000). After a multivariate analysis, only three factors were significantly associated to prognosis: previous stroke, Killip's class, and group of age. Fibrinolytic therapy and coronary arteriography were less frequent with old people (p = 0.00000 and p = 0.00000 respectively). We conclude that age is an independent factor of prognosis during myocardial infarction. Old people have a worse clinical condition and the treatment is less aggressive than in young people.
authors.affiliation: Unidad Coronaria, Hospital Universitario Virgen Macarena, Sevilla.
authors.forename: J C
authors.initials: JC
authors.lastname: García Rubira
authors.forename: B
authors.initials: B
authors.lastname: Valverde
authors.forename: D
authors.initials: D
authors.lastname: Romero
authors.forename: J T
authors.initials: JT
authors.lastname: García Martínez
authors.forename: V
authors.initials: V
authors.lastname: López
authors.forename: J
authors.initials: J
authors.lastname: Rojas
authors.forename: J
authors.initials: J
authors.lastname: Ribas
authors.forename: M
authors.initials: M
authors.lastname: Pavón
authors.forename: M
authors.initials: M
authors.lastname: González
authors.forename: J M
authors.initials: JM
authors.lastname: Cruz Fernández
mesh_terms: D000367:Age Factors; D000368:Aged; D016009:Chi-Square Distribution; D005260:Female; D006801:Humans; D015994:Incidence; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000145:classification / Q000175:diagnosis / Q000401:mortality*; D011379:Prognosis; D012307:Risk Factors; D013030:Spain / Q000453:epidemiology
vernacular_title: La edad es factor pronóstico independiente en el infarto agudo de miocardio. Curso clínico del infarto en el anciano.