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Clinical manifestations of 43 patients with acute myocardial infarction complicated by free wall rupture / 中华心血管病杂志
Chinese Journal of Cardiology ; (12): 812-815, 2011.
Artigo em Chinês | WPRIM (Pacífico Ocidental) | ID: wpr-268310
Biblioteca responsável: WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To analyze the clinical characteristics of patients with acute myocardial infarction (AMI) complicated by free wall rupture (FWR) and to define the independent risk factors for FWR.</p><p><b>METHODS</b>Clinical and angiographic data of 6192 AMI patients admitted to our department between January 1995 and January 2010 were retrospectively reviewed, FWR was confirmed in 43 patients by post-mortem examination. Multivariate logistic regression analysis was performed to identify risk factors for FWR.</p><p><b>RESULTS</b>Rupture occurred at a median of 3.58 days after symptom onset. Risk factors associated with FWR were older age, female gender, delayed hospital admission, hypertension at admission and increased serum creatine level. Although patients with FWR had more single-vessel disease, their in-hospital mortality was very high (97.7%). Undue physical efforts were documented in 41.9% patients with FWR.</p><p><b>CONCLUSION</b>Old age, female gender and prolonged time from the onset of symptoms to hospital, hypertension and high level of serum creatine at admission are independent factors of FWR.</p>
Assuntos
Texto completo: Disponível Base de dados: WPRIM (Pacífico Ocidental) Assunto principal: Ruptura Cardíaca Pós-Infarto / Estudos Retrospectivos / Fatores de Risco / Diagnóstico / Infarto do Miocárdio Tipo de estudo: Estudo diagnóstico / Estudo de etiologia / Estudo observacional / Estudo prognóstico / Fatores de risco Limite: Adulto / Idoso / Idoso, 80 anos ou mais / Feminino / Humanos / Masculino Idioma: Chinês Revista: Chinese Journal of Cardiology Ano de publicação: 2011 Tipo de documento: Artigo
Texto completo: Disponível Base de dados: WPRIM (Pacífico Ocidental) Assunto principal: Ruptura Cardíaca Pós-Infarto / Estudos Retrospectivos / Fatores de Risco / Diagnóstico / Infarto do Miocárdio Tipo de estudo: Estudo diagnóstico / Estudo de etiologia / Estudo observacional / Estudo prognóstico / Fatores de risco Limite: Adulto / Idoso / Idoso, 80 anos ou mais / Feminino / Humanos / Masculino Idioma: Chinês Revista: Chinese Journal of Cardiology Ano de publicação: 2011 Tipo de documento: Artigo
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