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Trends in Hospitalized Acute Myocardial Infarction Patients with Heart Failure in Korea at 1998 and 2008

Authors
 Jong-Chan Youn  ;  Suk Min Seo  ;  Hye Sun Lee  ;  Jaewon Oh  ;  Min Seok Kim  ;  Jin-Oh Choi  ;  Hae-Young Lee  ;  Hyun-Jai Cho  ;  Seok-Min Kang  ;  Jae Joong Kim  ;  Sang Hong Baek  ;  Eun-Seok Jeon  ;  Hyun-Young Park  ;  Myeong-Chan Cho  ;  Byung-Hee Oh 
Citation
 JOURNAL OF KOREAN MEDICAL SCIENCE, Vol.29(4) : 544-549, 2014 
Journal Title
 JOURNAL OF KOREAN MEDICAL SCIENCE 
ISSN
 1011-8934 
Issue Date
2014
MeSH
Acute Disease ; Age Factors ; Aged ; Blood Pressure ; Demography ; Female ; Heart Failure/complications ; Heart Failure/diagnosis* ; Heart Failure/mortality ; Hospital Mortality/trends* ; Humans ; Hypertension/complications ; Male ; Middle Aged ; Myocardial Infarction/complications ; Myocardial Infarction/diagnosis* ; Myocardial Infarction/mortality ; Odds Ratio ; Republic of Korea ; Retrospective Studies
Keywords
Acute Myocardial Infarction ; Heart Failure ; Hospital Mortality ; Temporal Trend
Abstract
Heart failure (HF) complicating acute myocardial infarction (AMI) is common and is associated with poor clinical outcome. Limited data exist regarding the incidence and in-hospital mortality of AMI with HF (AMI-HF). We retrospectively analyzed 1,427 consecutive patients with AMI in the five major university hospitals in Korea at two time points, 1998 (n = 608) and 2008 (n = 819). Two hundred twenty eight patients (37.5%) in 1998 and 324 patients (39.5%) in 2008 of AMI patients complicated with HF (P = 0.429). AMI-HF patients in 2008 were older, had more hypertension, previous AMI, and lower systolic blood pressure than those in 1998. Regarding treatments, AMI-HF patients in 2008 received more revascularization procedures, more evidence based medical treatment and adjuvant therapy, such as mechanical ventilators, intra-aortic balloon pulsation compared to those in 1998. However, overall in-hospital mortality rates (6.4% vs 11.1%, P = 0.071) of AMI-HF patients were unchanged and still high even after propensity score matching analysis, irrespective of types of AMI and revascularization methods. In conclusion, more evidence-based medical and advanced procedural managements were applied for patients with AMI-HF in 2008 than in 1998. However the incidence and in-hospital mortality of AMI-HF patients were not significantly changed between the two time points.
Files in This Item:
T201402020.pdf Download
DOI
10.3346/jkms.2014.29.4.544
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Medical Engineering (의학공학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Seok Min(강석민) ORCID logo https://orcid.org/0000-0001-9856-9227
Oh, Jae Won(오재원) ORCID logo https://orcid.org/0000-0002-4585-1488
Youn, Jong Chan(윤종찬)
Lee, Hye Sun(이혜선) ORCID logo https://orcid.org/0000-0001-6328-6948
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/99061
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