Kamceva, Gordana and Kamcev, Nikola and Velkoska Nakova, Valentina and Vavlukis, Marija and Kedev, Sasko (2012) Heart failure and early hospital mortality in patients with acute myocardial infarction with ST-segment elevation. In: Heart Failure Congres, 19-22 May, Belgrade, Serbia.
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Abstract
Introduction: Coronary artery disease, with its predominantly recognized acute clinical manifestation - Acute myocardial infarction remains the leading cause of death in developed, but even more in transition and developing countries. In 2000, cardiovascular diseases are the cause of death for> 4 million people in Europe and myocardial infarction predicts that 2020 will be the main cause of death worldwide.
Purpose: To monitor early hospital morbidity, intra-hospital complications and mortality in patients with acute myocardial infarction with ST-segment elevation (STEMI) treated without reperfusion therapy, in patients who receive pharmacological reperfusion therapy and in patients treated with mechanical reperfusion therapy .
Methods: The study included patients diagnosed with STEMI within three years from the eastern region of the Republic of Macedonia. Patients were divided into three groups: Group 1 - patients treated without reperfusion therapy, Group 2 - patients who receive pharmacological reperfusion therapy Group 3 - patients who were treated with mechanical reperfusion therapy (PKI). Early hospital morbidity, intra-hospital complications and mortality were observed in all three groups.
Results: From 2008 to 2010 registered a total of 543 patients with STEMI. In 2008 registered 156 (28.7%) patients, 196 (36.1%) in 2009, and 191 in 2010 (35.2%) person. Of the total 543 patients, 161 (29.7%) were women and 382 (70.3%) were male, with average age of 60,43 11,76 years. Most patients with STEMI - 320 (58.93%) were treated conservatively. With pharmacological reperfusion therapy were treated 17 (3.13%) patients, and with mechanical reperfusion therapy (PKI) were treated 206 (37.94%) patients. In terms of early morbidity and intra-hospital complications, the most recorded complications were rhythm disorders and conduction - in 34 (6.26%), mechanical complications in 25 (4.60%) and haemodynamic complications - in 25 (4.60%) patients. There is a correlation between the kind of treatment and hospital morbidity, it is more established in patients on conservative treatment ( 2 test = 58,33 df = 24 p = 0,00011). The type of morbidity, heart failure carries the highest hospital mortality, followed by malignant rhythm disorders and conduction. ( 2 test = 56,98 df = 1 p = 0,00011)
Conclusion: The conservative treatment of patients with STEMI carries a higher risk of developing intra-hospital complications. Haemodynamic complications, which include heart failure, by frequency is on the third place. However, heart failure carries the highest hospital mortality.
Key words: heart failure, acute myocardial infarction with ST-segment elevation, intrahospital complications, hospital morbidity and hospital mortality.
| Item Type: | Conference or Workshop Item (Poster) |
|---|---|
| Subjects: | Medical and Health Sciences > Clinical medicine |
| Divisions: | Faculty of Medical Science |
| Depositing User: | Gordana Kamceva |
| Date Deposited: | 27 Jun 2014 13:05 |
| Last Modified: | 27 Jun 2014 13:05 |
| URI: | https://eprints.ugd.edu.mk/id/eprint/10236 |
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