[Influence of age in short and long term prognostic of ischemic cardiogenic shock].

Autor:	Hidalgo-Olivares VM; Servicio de Cardiología, Hospital General Universitario de Albacete, Albacete, España. Electronic address: vmhidalgo@ono.com., Córdoba-Soriano JG; Servicio de Cardiología, Hospital General Universitario de Albacete, Albacete, España., López-Neira I; Servicio de Cardiología, Hospital General Universitario de Albacete, Albacete, España., Fernández-Anguita M; Servicio de Cardiología, Hospital General Universitario de Albacete, Albacete, España., Llanos-Guerrero C; Servicio de Cardiología, Hospital General Universitario de Albacete, Albacete, España., Salmerón-Martínez F; Servicio de Cardiología, Hospital General Universitario de Albacete, Albacete, España., Cambronero-Cortinas E; Servicio de Cardiología, Hospital General Universitario de Albacete, Albacete, España., Lafuente-Gormaz C; Servicio de Cardiología, Hospital General Universitario de Albacete, Albacete, España., Tercero-Martínez A; Servicio de Cardiología, Hospital General Universitario de Albacete, Albacete, España., Corbí-Pascual M; Servicio de Cardiología, Hospital General Universitario de Albacete, Albacete, España., Jiménez-Mazuecos J; Servicio de Cardiología, Hospital General Universitario de Albacete, Albacete, España., Gutiérrez-Díez A; Servicio de Cardiología, Hospital General Universitario de Albacete, Albacete, España., Valle-Muñoz A; Servicio de Cardiología, Hospital General Universitario de Albacete, Albacete, España.
Jazyk:	Spanish; Castilian
Zdroj:	Archivos de cardiologia de Mexico [Arch Cardiol Mex] 2014 Jan-Mar; Vol. 84 (1), pp. 10-6. Date of Electronic Publication: 2014 Mar 20.
DOI:	10.1016/j.acmx.2013.10.005
Abstrakt:	Objective: To compare the prognosis during hospitalization and maximum follow-up of 4 years in patients with myocardial infarction complicated with cardiogenic shock. Method: Prospective observational study practiced in a coronary Care Unit managed by cardiologists. We included patients with myocardial infarction complicated with cardiogenic shock who received early coronary revascularization. Patients were divided into two groups: older than 75 years (group A) and lower (group B), and we compared the evolution during hospitalization and maximum follow-up of 4 years. Primary end point was mortality rate in the maximum follow-up of 4years. Secondary end point was mortality rate during hospitalization. Results: Ninety-seven patients were included, 45% Group A. Patients of Group B were mostly men (81% vs. 57%; P=.014), diabetics (48% vs. 21%; P=0.006), and smokers (39.6% vs. 5%). Mortality rate during hospitalization was higher in Group A (54.5%) vs. 30.2% in Group B (P=.022). Mortality rate during follow-up (primary variable) was 73% in Group A vs. 38% in Group B (P=.007). Conclusions: Myocardial infarction complicated with cardiogenic shock in elderly patients is an entity with high mortality during hospitalization and continues to worsen during long term follow-up. (Copyright © 2013 Instituto Nacional de Cardiología Ignacio Chávez. Published by Masson Doyma México S.A. All rights reserved.)
Databáze:	MEDLINE
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