[Comparable analysis of in-hospital mortality in patients with acute myocardial infarction].
OBJECTIVE
To investigate the change of the mortality of AMI and influence factors within 20 years.


METHODS
Clinic data of 134 AMI patients from 1980 to 1983, 354 AMI patients from 1990 to 1993 and 817 AMI patients from 2000 to 2003 were comparably analyzed.


RESULTS
In hospital mortality of AMI was 22.4% from 1980 to 1983, 14.4% from 1990 to 1993 and 9.2% from 2000 to 2003, respectively (P < 0.01). The decrease of in-hospital mortality in male was more significant than in female (P < 0.01). The corresponding factors for decrease of mortality were younger than 60 years old, first onset of AMI, successful rescue of cardiac arrest and reperfusion management of infarction relative artery. The disadvantage factor was female.


CONCLUSIONS
Improvement of medical and reperfusion management of AMI conduced in significant decreases of hospital mortality.
Zhang
Mei
M
Department of Cardiology, The Second Hospital of Tianjin Medical University, Tianjin 300211, China. chyouyou@126.com
Huang
Ti-gang
TG
Li
Guang-ping
GP
Zhang
Cheng-zong
CZ
Cong
Hong-liang
HL
Wang
Wei
W
Chen
Shu-tao
ST
Xu
Yan-min
YM
Gao
Yu-xia
YX
Zhang
Yi-zhi
YZ
Zhang
Wei-han
WH
D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D000368:Aged; D047228:Angiotensin II Type 1 Receptor Blockers / Q000627:therapeutic use; D000806:Angiotensin-Converting Enzyme Inhibitors / Q000627:therapeutic use; D002423:Cause of Death; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D007297:Inpatients; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000401:mortality* / Q000628:therapy; D015425:Myocardial Reperfusion; D011379:Prognosis; D012189:Retrospective Studies; D012307:Risk Factors
D000319:Adrenergic beta-Antagonists; D047228:Angiotensin II Type 1 Receptor Blockers; D000806:Angiotensin-Converting Enzyme Inhibitors