Prevalence and prognostic significance of anemia in patients presenting for ST-elevation myocardial infarction in a Tunisian center

Autor: Walid Jomaa, Imen Ben Ali, Sonia Hamdi, Mohamed A. Azaiez, Aymen El Hraïech, Khaldoun Ben Hamda, Faouzi Maatouk
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Journal of the Saudi Heart Association, Vol 29, Iss 3, Pp 153-159 (2017)
Druh dokumentu: article
ISSN: 1016-7315
DOI: 10.1016/j.jsha.2016.10.003
Popis: Background: Anemia on admission is a powerful predictor of major cardiovascular events in patients presenting for acute coronary syndromes. We sought to determine the prevalence and prognostic impact of anemia in patients presenting for ST-elevation myocardial infarction (STEMI). Methods: We analyzed data from a Tunisian retrospective single center STEMI registry. Patients were enrolled between January 1998 and October 2014. Anemic and nonanemic patients were compared for clinical and prognostic features and according to four prespecified hemoglobin level subgroups. In patients with severe anemia, factors associated with in-hospital death were studied. Results: A total of 1498 patients were enrolled. Mean age was 60.47 ± 12.7 years and prevalence of anemia was 36.6%. Anemic patients were more likely to be elderly, hypertensive, and diabetic in comparison to nonanemic patients. In-hospital mortality was significantly higher in anemic patients (14.9% vs. 5%, p
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