SEVERAL MEDICAL AND SOCIAL FACTORS WHICH MAY INFLUENCE IN-HOSPITAL MORTALITY IN PATIENTS WITH MYOCARDIAL INFARCTION

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Abstract

Aim: to study the medical and social aspects of in-hospital mortality after myocardial infarction (MI) in the cardiology center of a major industrial city in Western Siberia. Patients and methods: the material of the study was the database of patients with acute coronary syndrome (19 283 patients), formed by a continuous method retrospectively. The volume of the study were 6463 patients with MI for 2006–2011. Results: in-hospital mortality of patients with MI was 11,8%, with MI complicated by cardiogenic shock — 87,4%, in the primary MI — 7,4%, during the second MI — 22,1%. In-hospital mortality in MI depends on the age of the patients: in group of patients of working age mortality was 4,7%, the retirement age — 12,4%, old age — 22,7%. In the working-age group mortality in men is almost three times higher than in women. The mortality of patients with MI without reperfusion was 13,4%, in the case of reperfusion therapy — 9,2%. Conclusions: hospital mortality depends on the patient's age, type of MI (primary or repeated), the severity of the condition, applied treatments.

 

About the authors

D. V. Kruchkov

Research Institute for Complex Issues of Cardiovascular Diseases under the Siberian Branch of the Russian Academy of Medical Sciences, Kemerovo, Russian Federation
Kemerovo Cardiology Dispensary, Russian Federation

Author for correspondence.
Email: kruchdv@cardio.kem.ru
research scientist of Laboratory of Management Technologies Formation of FSBI Research Institute for Complex Issues of Cardiovascular Diseases under the Siberian Branch of the Russian Academy of Medical Sciences; cardiologist of admission department of MBI “Kemerovo Cardiology Centre”. Address: 6, Sosnovyi blvd, Kemerovo, RF, 650002, tel.: +7 (3842) 64-42-40 Россия

V. Yu. Kheraskov

Kemerovo Cardiology Dispensary, Russian Federation

Email: heravu@cardio.kem.ru
Head of Emergency and intensive care unit of MBI “Kemerovo Cardiology Centre”. Address: 6, Sosnovyi blvd, Kemerovo, RF, 650002, tel.: +7 (3842) 64-45-82 Россия

S. A. Maksimov

Research Institute for Complex Issues of Cardiovascular Diseases under the Siberian Branch of the Russian Academy of Medical Sciences, Kemerovo, Russian Federation

Email: m1979sa@yandex.ru
MD, assistant professor, senior research scientist of the Laboratory of CVD Epidemiology, FSBI Research Institute for Complex Issues of Cardiovascular Diseases under the Siberian Branch of the Russian Academy of Medical Sciences. Address: 6, Sosnovyi blvd, Kemerovo, RF, 650002, tel.: +7 (3842) 64-42-40 Россия

G. V. Artamononva

Research Institute for Complex Issues of Cardiovascular Diseases under the Siberian Branch of the Russian Academy of Medical Sciences, Kemerovo, Russian Federation

Email: artamonova@cardio.kem.ru
PhD, professor, Deputy Director for Scientific Research, Head of the Department of Medical Care Management across CVD of FSBI Research Institute for Complex Issues of Cardiovascular Diseases under the Siberian Branch of the Russian Academy of Medical Sciences. Address: 6, Sosnovyi blvd, Kemerovo, RF, 650002, tel.: +7 (3842) 64-45-73 Россия

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