Acute myocardial infarction: predictors of mortality at a public hospital in the city of Fortaleza, Ceará state.
OBJECTIVE
To identify the clinical and demographic predictors of in-hospital mortality in acute myocardial infarction with elevation of the ST segment in a public hospital, in the city of Fortaleza, Ceará state, Brazil.


METHODS
A retrospective study of 373 patients experiencing their first episode of acute myocardial infarction was carried out. Of the study patients, 289 were discharged from the hospital (group A) and 84 died (group B). Both groups were analyzed regarding: sex; age; time elapsed from the beginning of the symptoms of myocardial infarction to assistance at the hospital; use of streptokinase; risk factors for atherosclerosis; electrocardiographic location of myocardial infarct; and Killip functional class.


RESULTS
In a univariate analysis, group B had a greater proportion of the following parameters as compared with group A: non-Killip I functional class; diabetes; age >70 years; infarction of the inferior wall associated with right ventricular impairment; time between symptom onset and treatment at the hospital >12 h; anteroseptal or extensive anterior infarction; no use of streptokinase; and no tobacco use. In a multivariate logistic regression analysis, only non-Killip I functional class, diabetes, and age >70 years persisted as independent factors for death.


CONCLUSIONS
Non-Killip I functional class, diabetes, and age >70 years were independent predictors of mortality in acute myocardial infarction with elevation of the ST segment.
Ribeiro
Demóstenes Gonçalves Lima
DG
Hospital de Messejana, Secretaria de Saúde do Estado do Cearé, Recife, PE, Brazil. drbeiro@cardiol.br
de Andrade
Pedro José Negreiros
PJ
Paes J nior
José Nogueira
JN
Saraiva
Lurildo Ribeiro
LR
D000368:Aged; D000369:Aged, 80 and over; D001161:Arteriosclerosis / Q000209:etiology; D001938:Brazil / Q000453:epidemiology; D004562:Electrocardiography; D004632:Emergency Medical Services; D004812:Epidemiologic Methods; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000401:mortality*; D012907:Smoking / Q000009:adverse effects; D013997:Time Factors