Trends in Hospitalized Acute Myocardial Infarction Patients with Heart Failure in Korea at 1998 and 2008.
10.3346/jkms.2014.29.4.544
- Author:
Jong Chan YOUN
1
;
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
Author Information
1. Division of Cardiology, Severance Cardiovascular Hospital and Cardiovascular Research Institute, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Original Article ; Research Support, Non-U.S. Gov't
- Keywords:
Acute Myocardial Infarction;
Heart Failure;
Temporal Trend;
Hospital Mortality
- MeSH:
Acute Disease;
Age Factors;
Aged;
Blood Pressure;
Demography;
Female;
Heart Failure/complications/*diagnosis/mortality;
Hospital Mortality/*trends;
Humans;
Hypertension/complications;
Male;
Middle Aged;
Myocardial Infarction/complications/*diagnosis/mortality;
Odds Ratio;
Republic of Korea;
Retrospective Studies
- From:Journal of Korean Medical Science
2014;29(4):544-549
- CountryRepublic of Korea
- Language:English
-
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.
