Impact of marital status on outcomes following ST-segment elevation myocardial infarction
| Autor: | Kyungil Park, Victor L. Serebruany, So Yeon Kim, Young Dae Kim, Jong Seong Park, Tae Ho Park, Moo Hyun Kim, Young Rak Cho, K M Lee, Soo Jin Kim |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Time Factors medicine.medical_treatment Pilot Projects 030204 cardiovascular system & hematology Revascularization 03 medical and health sciences 0302 clinical medicine Internal medicine Republic of Korea medicine Humans ST segment cardiovascular diseases 030212 general & internal medicine Myocardial infarction Depression (differential diagnoses) Aged Retrospective Studies Aged 80 and over Marital Status Cerebral infarction business.industry General Medicine Middle Aged medicine.disease Mental Health Treatment Outcome Cohort Physical therapy ST Elevation Myocardial Infarction Marital status Female Cardiology and Cardiovascular Medicine business Mace |
| Zdroj: | Cardiovascular Revascularization Medicine. 19:237-240 |
| ISSN: | 1553-8389 |
| Popis: | Background Mood disorders, depression, and loneliness are established risk factors for thrombotic occlusions. Social relationships in general, and marital status in particular may play a role in predicting cardiovascular outcomes and survival after ST-segment elevation myocardial infarction (STEMI), but the evidence is inconclusive especially in Asians. Methods The Korean patients presented with STEMI (n = 980) constituted married (n = 780); or widowed, divorced, or single (WDS, n = 200) groups. After the matching for age, and gender, the groups were matched 1:1, with each group containing 172 patients. Clinical characteristics and STEMI prognosis such as major adverse cardiovascular events (MACE) and death at 1 year, in married versus WDS patients were collected, and retrospectively analyzed. Results Overall, the total of 70 non-fatal MACE and 51 deaths occurred. At 1-year, the WDS patients exhibited significantly more MACE (44 vs.26; p = 0.016), deaths (32 vs. 19; p = 0.049) and shorter time to MACE occurrence ( p = 0.018), compared to the married patients. There were no differences in revascularization, cerebral infarction, cerebral bleeding, major bleeding, coronary artery bypass graft, early mortality and the overall survival between groups. Conclusion Marital status may be linked to 1-year MACE including survival following STEMI, while being married may improve vascular outcomes compared to WDS in Korean patients. Further larger cohort or/and uniformed national registry studies are required to validate these data, and expand the evidence beyond East Asians. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect