[Short and long term prognosis of patients with myocardial infarction. Hungarian Myocardial Infarction Registry].
BACKGROUND
Mortality data of patients with acute myocardial infarction are incomplete in Hungary.


OBJECTIVE
The aim of the authors was to analyse the data of 8582 myocardial infarction patients (4981 with ST-elevation myocardial infarction) registered in the Hungarian Myocardial Infarction Register in order to define the hospital, 30-day, and 1-year mortality. To evaluate the prehospital mortality of myocardial infarction, all myocardial infarction and sudden death were registered in five districts of Budapest.


METHODS
Multivariate logistic regression was performed to define risk factors of mortality and the model were assessed using c statistics.


RESULTS
The hospital, 30-day and 1-year mortality of patients with ST elevation myocardial infarction were 3.7%, 9.5% and 16.5%, respectively. In patients without ST elevation myocardial infarction these figures were 4%, 9.8% and 21.7%, respectively. The 1-year mortality of patients without ST elevation was higher than those of with ST elevation and the difference was statistically significant. Age, Killip class, diabetes mellitus, history of stroke and myocardial infarction were independent predictors of death. Coronary intervention improved the prognosis of patients with myocardial infarction significantly.


CONCLUSIONS
The rate of pre-hospital mortality was considerably high; 72.5% of 30 day mortality occurred before admission to hospital.
Gottsegen György Országos Kardiológiai Intézet Budapest Haller u. 29. 1125. jonosiandrasdr@gmail.com
András
A
Jánosi
Péter
P
Ofner
Béla
B
Merkely
Péter
P
Polgár
Károly
K
Zámolyi
Róbert Gábor
RG
Kiss
István
I
Edes
Kálmán
K
Csapó
Lajos
L
Nagy
Géza
G
Lupkovics
Béla
B
Herceg
János
J
Tomcsányi
Zoltán
Z
László
András
A
Vértes
János
J
Simon
András
A
Katona
Ferenc
F
Juhász
Ferenc
F
Bajkó
Imre
I
Varjú
Elek
E
Dinya
D000328:Adult; D017677:Age Distribution; D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D015897:Comorbidity; D005260:Female; D006329:Heart Conduction System / Q000503:physiopathology; D017052:Hospital Mortality; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000453:epidemiology* / Q000401:mortality / Q000473:pathology / Q000503:physiopathology / Q000628:therapy*; D016017:Odds Ratio; D011379:Prognosis; D012042:Registries; D018570:Risk Assessment; D012307:Risk Factors; D017678:Sex Distribution; D013997:Time Factors; D016896:Treatment Outcome