Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
LONG-TERM PROGNOSIS AFTER ACUTE MYOCARDIAL-INFARCTION IN PATIENTS WITH A HISTORY OF ARTERIAL-HYPERTENSION
Autore:
GUSTAFSSON F; KOBER L; TORPPEDERSEN C; HILDEBRANDT P; OTTESEN MM; SONNE B; CARLSEN J;
Indirizzi:
UNIV COPENHAGEN,PANUM INST,DEPT MED PHYSIOL,10-5 BLEGDAMSVEJ 3 DK-2200 COPENHAGEN N DENMARK FREDERIKSBERG UNIV HOSP,DEPT CARDIOL & ENDOCRINOL FREDERIKSBERG DENMARK GENTOFTE UNIV HOSP,DEPT CARDIOL GENTOFTE DENMARK GLOSTRUP UNIV HOSP,DEPT CARDIOL GLOSTRUP DENMARK MEDICON COPENHAGEN DENMARK
Titolo Testata:
European heart journal
fascicolo: 4, volume: 19, anno: 1998,
pagine: 588 - 594
SICI:
0195-668X(1998)19:4<588:LPAAMI>2.0.ZU;2-1
Fonte:
ISI
Lingua:
ENG
Soggetto:
LEFT-VENTRICULAR HYPERTROPHY; BLOOD-PRESSURE; PULMONARY CONGESTION; EJECTION FRACTION; HEART-DISEASE; MORTALITY; SURVIVAL; RECOVERY; THROMBOLYSIS; MORBIDITY;
Keywords:
MYOCARDIAL INFARCTION; HYPERTENSION; PROGNOSIS; MORTALITY; LEFT VENTRICULAR FUNCTION; RISK STRATIFICATION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
30
Recensione:
Indirizzi per estratti:
Citazione:
F. Gustafsson et al., "LONG-TERM PROGNOSIS AFTER ACUTE MYOCARDIAL-INFARCTION IN PATIENTS WITH A HISTORY OF ARTERIAL-HYPERTENSION", European heart journal, 19(4), 1998, pp. 588-594

Abstract

Aims The objective of the study was to investigate the influence of ahistory of arterial hypertension on longterm prognosis after an acutemyocardial infarction in a representative population, and secondly toassess the impact on prognosis of left ventricular systolic function in hypertensives after acute myocardial infarction. Methods A retrospective analysis of survival data on 6676 patients with acute myocardialinfarction screened for entry into the TRAndolapril Cardiac Evaluation (TRACE) study. Follow-up time was 4-6 years. Results One thousand five hundred and seven (23%) of the patients had a history of arterial hypertension. During the time of observation 763 (50.6%) hypertensives and 2253 (43.7%) normotensives died, corresponding to a risk ratio fordeath in hypertensives of 1.23 (1.13-1.33, P<0.0001). In a multivariate analysis considering 12 other major risk factors after myocardial infarction, the risk ratio for death in hypertensives was 1.14 (1.04-1.24). There was a significant interaction between hypertension and age. Thus, hypertension only increased risk in patients aged 65 years or less (P<0.001). No interaction with left ventricular systolic function was found. Conclusion A history of arterial hypertension is a moderaterisk factor for mortality after an acute myocardial infarction in patients aged 65 years or less. This excess risk is present at all levelsof left ventricular systolic function.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/09/20 alle ore 22:00:25