engleski

Epidemiological data on the clinical status of myocardial infarction patients'

In our study we included 10, 579 cases of acute myocardial infarction (AMI) hospitalised in five Zagreb hospitals during a ten-year period (from 1984-1993). We investigated the clinical status of myocardial infarction patients (pts) with regard to hospital survival, sex, age and reinfarction. Of the total number of patients 3, 623 (34%) were women. 2, 812 pts died in hospital, so the hospital case fatality was 27 %. 1, 594 men and 1, 218 women died in hospital, so the hospital case fatality was 23% for men and 34% for women. We found out that, when taking into consideration age groups and case fatality, there were more fatal cases in the older age groups. In the age group >74 there were 2, 497 cases of AMI and 1, 113 out of them died, so the case fatality rate for this age group was 45%. 3, 076 (29%) of the AMI pts had a congestive heart failure (CHF), 396 (4%) were in a state of cardiogenic shock, and cardiac arrest was recorded in 163 (2%). Data on clinical status was unknown in 697 (7%) pts. CHF was more often observed in women than men ; 1.417 (39%) women and 1, 659 (24%) men had CHF. Of those who survived the attack - 2, 405 women and 5, 362 men - 822 (34%)women and 990 (18%) med had CHF. Women who died of AMI (1, 218) had CHF in 595 cases (49%), and men who died of AMI (1, 594) had CHF in 669 (42%). CHF and cardiogenic shock were observed more often in older pts ; in the age group >74 these were recorded in 54% pts. Death following cardiogenic shock and cardiac arrest were recorded in 16% of women and 18% of men. Reinfarction was observed in 635 (18%) women of whom 51% had CHF and in 1, 547 (22%) men out of whom 33% had CHF. Women for whom that was the first attack had CHF in 37% and men in 22% of the cases. Conclusion: The prognosis after AMI was poorer in women: hospital case fatality was higher and CHF was more often observed. CHF was more often recorded in older age groups and in those with reinfarction, both in women and men.

acute myocardial infarction; clinical status; women

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