title: [Comparable analysis of in-hospital mortality in patients with acute myocardial infarction].
abstract: 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.
authors.affiliation: Department of Cardiology, The Second Hospital of Tianjin Medical University, Tianjin 300211, China. chyouyou@126.com
authors.forename: Mei
authors.initials: M
authors.lastname: Zhang
authors.forename: Ti-gang
authors.initials: TG
authors.lastname: Huang
authors.forename: Guang-ping
authors.initials: GP
authors.lastname: Li
authors.forename: Cheng-zong
authors.initials: CZ
authors.lastname: Zhang
authors.forename: Hong-liang
authors.initials: HL
authors.lastname: Cong
authors.forename: Wei
authors.initials: W
authors.lastname: Wang
authors.forename: Shu-tao
authors.initials: ST
authors.lastname: Chen
authors.forename: Yan-min
authors.initials: YM
authors.lastname: Xu
authors.forename: Yu-xia
authors.initials: YX
authors.lastname: Gao
authors.forename: Yi-zhi
authors.initials: YZ
authors.lastname: Zhang
authors.forename: Wei-han
authors.initials: WH
authors.lastname: Zhang
mesh_terms: 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
chemical_list: D000319:Adrenergic beta-Antagonists; D047228:Angiotensin II Type 1 Receptor Blockers; D000806:Angiotensin-Converting Enzyme Inhibitors