title: [Mortality of myocardial infarction in the PRIMVAC registry. Prognostic factors].
abstract: OBJECTIVE
  The aim of this study was to determine the mortality due to acute myocardial infarction in the coronary units from Comunidad Valenciana (Spain) and the prognostic factors associated with a higher mortality.
  
  
  METHODS
  Demographic characteristics, coronary risk factors, electrocardiographic ischemic signs, complications and mortality of patients with acute myocardial infarction admitted in the coronary units were collected. The study period comprised January 1995-December 1999. Death incidence was measured during coronary unit's stay. Factors associated with poor prognosis were analyzed.
  
  
  RESULTS
  10.213 patients entered into the study. Mean age at admission was 65 12 years. 23.8% were females (76.2% males). Global mortality in coronary units was 13.3%. Independent variables associated with higher mortality were (p < 0.05): advanced age (OR=1.06 [1.05-1.06]), female sex (OR=1.45 [1.26-1.66]), diabetes mellitus (OR=1.53 [1.35-1.74]), previous myocardial infarction (OR=1.46 [1.23-1.70]), previous angor pectoris (OR=1.29 [1.13-1.49]) and Q-wave infarction (OR=1.23 [1.03-1.43]). Factors associated with lower mortality were: hypercholesterolemia (OR=0.76 [0.66-0.78]), smoking (OR=0.65 [0.57-0.74]) and thrombolysis (OR=0.85 [0.78-0.92]).
  
  
  CONCLUSIONS
  At present, in the reperfusion therapy era, acute myocardial infarction has a high mortality after coronary unit admission. Several clinical factors are associated with a worse prognosis.
authors.affiliation: INSVACOR, Valencia, Spain. josevalenciamartin@hotmail.com
authors.forename: José
authors.initials: J
authors.lastname: Valencia
authors.forename: Adolfo
authors.initials: A
authors.lastname: Cabadés
authors.forename: Miguel
authors.initials: M
authors.lastname: Ahumada
authors.forename: Luis
authors.initials: L
authors.lastname: Gómez
authors.forename: Javier
authors.initials: J
authors.lastname: Cebrián
authors.forename: Eduardo
authors.initials: E
authors.lastname: Payá
authors.forename: Ildefonso
authors.initials: I
authors.lastname: Echanove
authors.forename: Rafael
authors.initials: R
authors.lastname: Sanjuán
authors.forename: Carlos
authors.initials: C
authors.lastname: Antón
authors.forename: Enrique
authors.initials: E
authors.lastname: González
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000401:mortality*; D011379:Prognosis; D012042:Registries; D013030:Spain / Q000453:epidemiology