The short-term survival following acute myocardial infarction: A prospective observational study

Introduction: To investigate 28 days survival rate following first acute myocardial infarction (AMI) associated with the presence of classical risk factors and treatment modalities in Gorgan, north of Iran. Materials and methods: Our cohort including all patients hospitalized due to AMI from 2010 t...

Full description

Bibliographic Details
Main Authors: Mohammad Aryaie, Fozieh Bakhsha, Seyyed Yaghub Jafari, Zahra Yousefi, Ali Reza Heidari, Zahra Esmaeili, Sakineh Sobhani, Shima Aghili
Format: Article
Language:English
Published: Ilam University of Medical Sciences 2017-03-01
Series:Journal of Basic Research in Medical Sciences
Subjects:
Online Access:http://jbrms.medilam.ac.ir/browse.php?a_code=A-10-97-2&slc_lang=en&sid=1
Description
Summary:Introduction: To investigate 28 days survival rate following first acute myocardial infarction (AMI) associated with the presence of classical risk factors and treatment modalities in Gorgan, north of Iran. Materials and methods: Our cohort including all patients hospitalized due to AMI from 2010 to 2013. Data were collected on demographic, prophylactic drugs and classical coronary risk factors. Data were analyzed using Kaplan-Meier and log rank tests. Cox proportional hazard model was built to estimate relative risk by taking into account other variables. Results: Median age of subjects was 58 and 64 for men and women, respectively; moreover, the occurrence of diabetes was 52.5 and 24.5 for them. A poorer outcome was detected in survival rate for women in the final model. Excess death occurrence in Fars or non- Persian ethnicity, and those who were not prescribed statin was detected in the adjusted model. Conclusion: A better survival rate for those who were prescribed statin suggest that it could be beneficial in treatment modality and non-Persian ethnicities needed to be considered as a group of at risk for earlier screening programs. In spite of some other studies a poorer outcome following AMI for women was found even after taking into account age and comorbidity.
ISSN:2383-0506
2383-0972