COMPARISON OF SHORT-TERM CLINICAL OUTCOME OF NON-ST ELEVATION VERSUS ST ELEVATION MYOCARDIAL INFARCTION

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SADEGHIAN H.; SHEYKH VATAN M.; MAHMOUDIAN MEHRAN; SHEYKH FATH ELAHI M.; HAKI E.; SADEGHIAN A.; BEHNAM BEHNAZ; HAJI ZEYNALI A.M.; SEMNANI V.

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Journal: THE JOURNAL OF TEHRAN UNIVERSITY HEART CENTER Year:2009 | Volume:4 | Issue:2 Page(s): 97-102

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Title

COMPARISON OF SHORT-TERM CLINICAL OUTCOME OF NON-ST ELEVATION VERSUS ST ELEVATION MYOCARDIAL INFARCTION

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Keywords

MYOCARDIAL INFARCTION

OUTCOME ASSESSMENT

MORTALITY

Abstract

Background: Studies on the prognosis of ST elevation MYOCARDIAL INFARCTION (STEMI) versus non-ST elevation MYOCARDIAL INFARCTION (non-STEMI) have shown different results. The present study was designed to compare the early outcome and left ventricular systolic function of patients with ST and non-ST elevation MYOCARDIAL INFARCTION. Methods: The patients' information was derived from 10,065 consecutive patients hospitalized in Tehran Heart Center with acute MI (2007 patients with STEMI and 8058 with non-STEMI). The baseline clinical characteristics, post-MI complications, left ventricular systolic functions, and 30-day MORTALITY rates were compared. Results: A history of current cigarette smoking, opium addiction, and brain stroke was more frequent in the STEMI patients, whereas hyperlipidemia, hypertension, and obesity were found more in the non-STEMI group. Ejection fraction was higher in the non-STEMI patients than that in the STEMI group, and anterior wall infarction was detected more frequently in the STEMI cases. A history of coronary artery bypass grafting and also percutaneous coronary intervention was observed more in the non-STEMI group. Amongst the in-hospital complications, ventricular arrhythmias (1.4 vs. 0.5, P<0.001) and pulmonary edema (0.4 vs. 0.1, P=0.002) were more prevalent in the STEMI cases. The 30-day MORTALITY rate in the STEMI group was higher than that in the non-STEMI group (5.5 vs. 2.4, P<0.001). Early MORTALITY in both groups was dependant on advanced age, diabetes mellitus, post-MI bradycardia, and atrioventricular block. Also, female gender and pulmonary edema in the STEMI group and family history of MI in the non-STEMI patients could predict 30-day MORTALITY. Conclusion: There were several differences in the baseline characteristics and early outcome between the two types of STEMI and non-STEMI. The 30-day MORTALITY rate was higher in the STEMI group than that in the non-STEMI group.

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APA: Copy

SADEGHIAN, H., SHEYKH VATAN, M., MAHMOUDIAN, MEHRAN, SHEYKH FATH ELAHI, M., HAKI, E., SADEGHIAN, A., BEHNAM, BEHNAZ, HAJI ZEYNALI, A.M., & SEMNANI, V.. (2009). COMPARISON OF SHORT-TERM CLINICAL OUTCOME OF NON-ST ELEVATION VERSUS ST ELEVATION MYOCARDIAL INFARCTION. THE JOURNAL OF TEHRAN UNIVERSITY HEART CENTER, 4(2), 97-102. SID. https://sid.ir/paper/301917/en

Vancouver: Copy

SADEGHIAN H., SHEYKH VATAN M., MAHMOUDIAN MEHRAN, SHEYKH FATH ELAHI M., HAKI E., SADEGHIAN A., BEHNAM BEHNAZ, HAJI ZEYNALI A.M., SEMNANI V.. COMPARISON OF SHORT-TERM CLINICAL OUTCOME OF NON-ST ELEVATION VERSUS ST ELEVATION MYOCARDIAL INFARCTION. THE JOURNAL OF TEHRAN UNIVERSITY HEART CENTER[Internet]. 2009;4(2):97-102. Available from: https://sid.ir/paper/301917/en

IEEE: Copy

H. SADEGHIAN, M. SHEYKH VATAN, MEHRAN MAHMOUDIAN, M. SHEYKH FATH ELAHI, E. HAKI, A. SADEGHIAN, BEHNAZ BEHNAM, A.M. HAJI ZEYNALI, and V. SEMNANI, “COMPARISON OF SHORT-TERM CLINICAL OUTCOME OF NON-ST ELEVATION VERSUS ST ELEVATION MYOCARDIAL INFARCTION,” THE JOURNAL OF TEHRAN UNIVERSITY HEART CENTER, vol. 4, no. 2, pp. 97–102, 2009, [Online]. Available: https://sid.ir/paper/301917/en

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