Outcomes and Hospital Utilization in Patients With Papillary Muscle Rupture Associated With Acute Myocardial Infarction
| Autor: | Arun Kumar, Gurusukhmandeep Sidhu, Kul Aggarwal, Bhaskar Bhardwaj, Mary Dohrmann, Martin A. Alpert, Sudarshan Balla, Varun Kumar |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male musculoskeletal diseases medicine.medical_specialty Adolescent medicine.medical_treatment education Myocardial Infarction 030204 cardiovascular system & hematology Young Adult 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Humans Hospital Mortality 030212 general & internal medicine Myocardial infarction Hospital Costs Aged Heart Rupture Post-Infarction Retrospective Studies Aged 80 and over business.industry Mortality rate Mitral valve replacement Retrospective cohort study Middle Aged Papillary Muscles medicine.disease Hospitals United States Hospitalization Heart failure Cardiology Myocardial infarction complications Female Myocardial infarction diagnosis Cardiology and Cardiovascular Medicine Complication business Follow-Up Studies |
| Zdroj: | The American Journal of Cardiology. 125:1020-1025 |
| ISSN: | 0002-9149 |
| DOI: | 10.1016/j.amjcard.2019.12.051 |
| Popis: | Papillary muscles rupture (PMR) is a rare complication of acute myocardial infarction (MI) that can lead to severe hemodynamic compromise, acute heart failure, and death. This study was designed to assess demographics, outcomes, and hospital utilization trends in the management of PMR associated with acute MI. Data were derived from the National Inpatient Sample for the years 2005 to 2014. ICD-9 codes 410.0 to 410.9 were used to identify patients with acute MI. ICD-9 code 429.6 was used to identify patients with PMR. ICD-9 procedures codes 35.23, 35.24, and 35.12 were used to identify patients who underwent mitral valve replacement (MVR) or repair. Of the 3,244,799 admissions, 932 were complicated by PMR (incidence of 0.029%). The majority of patients with PMR were ≥65 years old (60.1%) and male (60.4%). Of those with PMR, 57.5% underwent MVR. Compared to patients without PMR, those with PMR had a significantly higher in-hospital mortality rate (5.3 vs 36.3%, p |
| Databáze: | OpenAIRE |
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