Usage of PCI and long-term cardiovascular risk in post-myocardial infarction patients: a nationwide registry cohort study from Finland

Autor: Pål Hasvold, Eeva Reissell, Tuire Prami, Juhani Airaksinen, Ville Kytö, Houssem Khanfir
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Male
lcsh:Diseases of the circulatory (Cardiovascular) system
Time Factors
Survival
Epidemiology
medicine.medical_treatment
Comorbidity
030204 cardiovascular system & hematology
0302 clinical medicine
Recurrence
Risk Factors
Cause of Death
Medicine
030212 general & internal medicine
Myocardial infarction
Registries
Coronary Artery Bypass
Practice Patterns
Physicians'
Non-ST Elevated Myocardial Infarction
Finland
Aged
80 and over
Age Factors
PCI
Middle Aged
Stroke
Treatment Outcome
Cohort
Female
Cardiology and Cardiovascular Medicine
Cohort study
Research Article
medicine.medical_specialty
Lower risk
Risk Assessment
03 medical and health sciences
Percutaneous Coronary Intervention
Sex Factors
Internal medicine
Humans
cardiovascular diseases
Healthcare Disparities
Aged
Retrospective Studies
business.industry
Proportional hazards model
Percutaneous coronary intervention
Retrospective cohort study
medicine.disease
lcsh:RC666-701
Conventional PCI
ST Elevation Myocardial Infarction
business
Zdroj: BMC Cardiovascular Disorders, Vol 19, Iss 1, Pp 1-11 (2019)
BMC Cardiovascular Disorders
ISSN: 1471-2261
Popis: Background Despite currently available treatments, the burden of myocardial infarction (MI) morbidity and mortality remains prominent. The aim of this was to investigate the risk of developing subsequent cardiovascular events in MI patients. Methods This was an observational, retrospective cohort database linkage study using patient level data from Finland. Cox proportional hazards models were used to assess the association of risk between the preselected covariates and incidence of specific outcomes. The primary endpoints were new MI, stroke, cardiovascular mortality and overall mortality. Results Finnish adult MI patients alive 7 days after discharge in 2009–2012 were included. The study cohort consisted of 32,909 MI patients, of whom 25,875 (79%) survived 12 months without subsequent MI or stroke. ST-elevation MI (STEMI) was associated with lower risk of subsequent MI and overall mortality compared to non-STEMI patients. Percutaneous coronary intervention (PCI) was used two times more often in STEMI patients, but patients with prior stroke were more than two times less likely to have PCI. Dementia/Alzheimer’s disease decreased the use of PCI as much as age over 85 years. Female sex was an independent factor for not undergoing PCI (OR 0.75, P
Databáze: OpenAIRE
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