Anterior-wall and non-anterior-wall STEMIs do not differ in long-term mortality: results from the augsburg myocardial infarction registry
BackgroundDifferent ST-segment elevation myocardial infarction (STEMI) localizations go along with dissimilarities in the size of the affected myocardium, the causing coronary vessel occlusion, and the right ventricular participation. Therefore, this study aims to clarify if there is any difference...
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Frontiers Media S.A.
2024-01-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1306272/full |
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| author | F. Bauke F. Bauke T. Schmitz E. Harmel P. Raake M. Heier M. Heier J. Linseisen A. Peters A. Peters A. Peters C. Meisinger |
| author_facet | F. Bauke F. Bauke T. Schmitz E. Harmel P. Raake M. Heier M. Heier J. Linseisen A. Peters A. Peters A. Peters C. Meisinger |
| author_sort | F. Bauke |
| collection | DOAJ |
| description | BackgroundDifferent ST-segment elevation myocardial infarction (STEMI) localizations go along with dissimilarities in the size of the affected myocardium, the causing coronary vessel occlusion, and the right ventricular participation. Therefore, this study aims to clarify if there is any difference in long-term survival between anterior- and non-anterior-wall STEMI.MethodsThis study included 2,195 incident STEMI cases that occurred between 2009 and 2017, recorded by the population-based Augsburg Myocardial Infarction Registry, Germany. The study population comprised 1.570 men and 625 women aged 25–84 years at acute myocardial infarction. The patients were observed from the day of their first acute event with an average follow-up period of 4.3 years, (standard deviation: 3.0). Survival analyses and multivariable Cox regression analyses were performed to examine the association between infarction localizations and long-term all-cause mortality.ResultsOf the 2,195 patients, 1,118 had an anterior (AWS)- and 1,077 a non-anterior-wall-STEMI (NAWS). No significant associations of the STEMI localization with long-term mortality were found. When comparing AWS with NAWS, a hazard ratio of 0.91 [95% confidence interval: 0.75–1.10] could be calculated after multivariable adjustment. In contrast to NAWS, AWS was associated with a greater <28 day mortality, less current or former smoking and higher creatine kinase-myocardial band levels (CK-MB) and went along with a higher frequency of impaired left ventricular ejection fraction (<30%).ConclusionsDespite pathophysiological differences between AWS and NAWS, and identified differences in multiple clinical characteristics, no significant differences in long-term mortality between both groups were observed. |
| first_indexed | 2024-03-08T16:08:09Z |
| format | Article |
| id | doaj.art-280e30d58ea14d3783caddabd83b4871 |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-03-08T16:08:09Z |
| publishDate | 2024-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-280e30d58ea14d3783caddabd83b48712024-01-08T04:24:08ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2024-01-011010.3389/fcvm.2023.13062721306272Anterior-wall and non-anterior-wall STEMIs do not differ in long-term mortality: results from the augsburg myocardial infarction registryF. Bauke0F. Bauke1T. Schmitz2E. Harmel3P. Raake4M. Heier5M. Heier6J. Linseisen7A. Peters8A. Peters9A. Peters10C. Meisinger11Epidemiology, Medical Faculty, University of Augsburg, Augsburg, GermanyDepartment of Cardiology, Respiratory Medicine and Intensive Care, University Hospital Augsburg, Augsburg, GermanyEpidemiology, Medical Faculty, University of Augsburg, Augsburg, GermanyDepartment of Cardiology, Respiratory Medicine and Intensive Care, University Hospital Augsburg, Augsburg, GermanyDepartment of Cardiology, Respiratory Medicine and Intensive Care, University Hospital Augsburg, Augsburg, GermanyKORA Study Centre, University Hospital of Augsburg, Augsburg, GermanyHelmholtz Zentrum München, German Research Center for Environmental Health, Institute for Epidemiology, Neuherberg, GermanyEpidemiology, Medical Faculty, University of Augsburg, Augsburg, GermanyHelmholtz Zentrum München, German Research Center for Environmental Health, Institute for Epidemiology, Neuherberg, GermanyChair of Epidemiology, Institute for Medical Information Processing, Biometry and Epidemiology, Medical Faculty, Ludwig-Maximilians-Universität München, Munich, GermanyGerman Research Center for Cardiovascular Research (DZHK e.V.), Partner Site Munich Heart Alliance, Munich, GermanyEpidemiology, Medical Faculty, University of Augsburg, Augsburg, GermanyBackgroundDifferent ST-segment elevation myocardial infarction (STEMI) localizations go along with dissimilarities in the size of the affected myocardium, the causing coronary vessel occlusion, and the right ventricular participation. Therefore, this study aims to clarify if there is any difference in long-term survival between anterior- and non-anterior-wall STEMI.MethodsThis study included 2,195 incident STEMI cases that occurred between 2009 and 2017, recorded by the population-based Augsburg Myocardial Infarction Registry, Germany. The study population comprised 1.570 men and 625 women aged 25–84 years at acute myocardial infarction. The patients were observed from the day of their first acute event with an average follow-up period of 4.3 years, (standard deviation: 3.0). Survival analyses and multivariable Cox regression analyses were performed to examine the association between infarction localizations and long-term all-cause mortality.ResultsOf the 2,195 patients, 1,118 had an anterior (AWS)- and 1,077 a non-anterior-wall-STEMI (NAWS). No significant associations of the STEMI localization with long-term mortality were found. When comparing AWS with NAWS, a hazard ratio of 0.91 [95% confidence interval: 0.75–1.10] could be calculated after multivariable adjustment. In contrast to NAWS, AWS was associated with a greater <28 day mortality, less current or former smoking and higher creatine kinase-myocardial band levels (CK-MB) and went along with a higher frequency of impaired left ventricular ejection fraction (<30%).ConclusionsDespite pathophysiological differences between AWS and NAWS, and identified differences in multiple clinical characteristics, no significant differences in long-term mortality between both groups were observed.https://www.frontiersin.org/articles/10.3389/fcvm.2023.1306272/fullacute myocardial infarctionSTEMI-localizationlong-term mortalityrisknon-anterior STEMIanterior STEMI |
| spellingShingle | F. Bauke F. Bauke T. Schmitz E. Harmel P. Raake M. Heier M. Heier J. Linseisen A. Peters A. Peters A. Peters C. Meisinger Anterior-wall and non-anterior-wall STEMIs do not differ in long-term mortality: results from the augsburg myocardial infarction registry Frontiers in Cardiovascular Medicine acute myocardial infarction STEMI-localization long-term mortality risk non-anterior STEMI anterior STEMI |
| title | Anterior-wall and non-anterior-wall STEMIs do not differ in long-term mortality: results from the augsburg myocardial infarction registry |
| title_full | Anterior-wall and non-anterior-wall STEMIs do not differ in long-term mortality: results from the augsburg myocardial infarction registry |
| title_fullStr | Anterior-wall and non-anterior-wall STEMIs do not differ in long-term mortality: results from the augsburg myocardial infarction registry |
| title_full_unstemmed | Anterior-wall and non-anterior-wall STEMIs do not differ in long-term mortality: results from the augsburg myocardial infarction registry |
| title_short | Anterior-wall and non-anterior-wall STEMIs do not differ in long-term mortality: results from the augsburg myocardial infarction registry |
| title_sort | anterior wall and non anterior wall stemis do not differ in long term mortality results from the augsburg myocardial infarction registry |
| topic | acute myocardial infarction STEMI-localization long-term mortality risk non-anterior STEMI anterior STEMI |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1306272/full |
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