Prognostic factors in patients who have survived myocardial infarction

• Authors: Emina Aleksić , Radmila Stamenković , Dragan Đorđević , Gordana Lazarević , Duško Vulić , Ivan Tasić
• Languages of publication: EN

Abstracts

EN

Patients who have survived myocardial infarction (MI), compared to the general population, have an increased risk of reinfarction, myocardial revascularization, and death. In this study we investigated the prognostic significance of the predictors of the risk for adverse coronary events in 118 patients, both male and female, with a confirmed diagnosis of MI in the last 3 years. The predictors of reinfarction, revascularization and death in patients who survived MI were: poor adherence to hypolipemics (hazard ratio [HR] 3.06, p=0.006), physical inactivity (HR 2.22, p=0.056), the number of variable risk factors (HR 1.29, p=0.025), and age (HR 1.06, p=0.007). After the inclusion of the invariable risk factors in the model of multivariant analysis, the following factors were singled out as significant predictors of the risk: gender (HR 3.86, p=0.0015), physical inactivity (HR 2.38, p=0.007), change in the level of triglycerides (HR 1.49, p=0.040), change in the number of variable risk factors (HR 1.41, p=0.0007), and age (HR 1.05, p=0.009). A 3-year follow-up of the patients who survived the first MI and who were enrolled in this study of secondary prevention demonstrated that physical inactivity, the number of variable risk factors and age significantly contributed to an increased risk of reinfarction, revascularization, and death.

Keywords

EN

Myocardial infarction; Adverse coronary events; Independent prognostic factors

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2010
• Volume: 5
• Issue: 4
• Pages: 513-519

Dates

published

1 - 8 - 2010

online

30 - 5 - 2010

Contributors

author

Emina Aleksić

• Department of Pediatrics, Health Care Centre Pirot, Vojvode Momčila bb, 18300, Pirot, Serbia

author

Radmila Stamenković

• Emergency Health Care Department, Health Care Centre Leskovac, Svetozara Markovića 116, 16000, Leskovac, Serbia

author

Dragan Đorđević

• Institute for the Tnerapy and Rehabilitation „Niška Banja”, Srpskih junaka 2, 18205, Niška Banja, Serbia

author

Gordana Lazarević

• Clinic of Cardiology, Clinical Centre Niš, Blvd. Zorana Đinđića 48, 18000, Niš, Serbia

author

Duško Vulić

• Center for medical research and development health care, Vuka Karadžića 6, 78000, Banja Luka, Bosnia and Herzegovina

author

Ivan Tasić

• Institute for the Tnerapy and Rehabilitation „Niška Banja”, Srpskih junaka 2, 18205, Niška Banja, Serbia

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Identifiers

DOI

10.2478/s11536-010-0024-7