É o sexo feminino um preditor independente de mortalidade hospitalar no infarto agudo do miocárdio? / Is female sex an independent predictor of in-hospital mortality in acute myocardial infarction?
Arq. bras. cardiol
; 77(1): 37-50, July 2001. tab
Article
Dans Pt, En
| LILACS
| ID: lil-288988
Responsable en Bibliothèque :
BR1.1
ABSTRACT
OBJECTIVE:
To assess whether female sex is a factor independently related to in-hospital mortality in acute myocardial infarction.METHODS:
Of 600 consecutive patients (435 males and 165 females) with acute myocardial infarction, we studied 13 demographic and clinical variables obtained at the time of hospital admission through uni- and multivariate analysis, and analyzed their relation to in-hospital death.RESULTS:
Females were older (p<0.001) and had a higher incidence of hypertension (p<0.001). Males were more frequently smokers (p<0.001). The remaining risk factors had a similar incidence among both sexes. All variables underwent uni- and multivariate analysis. Through univariate analysis, the following variables were found to be associated with in-hospital death female sex (p<0.001), age >70 years (p<0.001), the presence of previous coronary artery disease (p=0.0004), previous myocardial infarction (p<0.001), infarction in the anterior wall (p=0.007), presence of left ventricular dysfunction (p<0.001), and the absence of thrombolytic therapy (p=0.04). Through the multivariate analysis of logistic regression, the following variables were associated with in-hospital mortality female sex (p=0.001), age (p=0.008), the presence of previous myocardial infarction (p=0.02), and left ventricular dysfunction (p<0.001).CONCLUSION:
After adjusting for all risk variables, female sex proved to be a variable independently related to in-hospital mortality in acute myocardial infarction
Texte intégral:
1
Indice:
LILACS
Sujet Principal:
Mortalité hospitalière
/
Infarctus du myocarde
Type d'étude:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limites du sujet:
Aged80
/
Female
/
Humans
/
Male
langue:
En
/
Pt
Texte intégral:
Arq. bras. cardiol
Thème du journal:
CARDIOLOGIA
Année:
2001
Type:
Article