کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
8668842 | 1578184 | 2018 | 6 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
High-grade atrioventricular block in patients with acute myocardial infarction. Insights from a contemporary multi-center survey
ترجمه فارسی عنوان
بلوک اتیرومتریال درجه بالا در بیماران مبتلا به انفارکتوس حاد میوکارد. بینش از یک نظرسنجی چند ساله معاصر
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کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
کاردیولوژی و پزشکی قلب و عروق
چکیده انگلیسی
High-grade atrioventricular block (HAVB) is a frequent complication of acute myocardial infarction (AMI) and is associated with increased morbidity and mortality. We aimed to evaluate the incidence, predictors, and prognostic significance of HAVB in a contemporary cohort of patients with AMI, in the recent era of early reperfusion. Patients with acute coronary syndromes (n = 11,487) during the years 2000-2010 were included. Patients were divided into two groups: with HAVB (n = 308, 2.7%) and without HAVB (n = 11,179, 97.3%). The incidence of HAVB decreased from 4.2% in 2000 to 2.1% in 2010 (p for trend < 0.01). Patients with HAVB were more likely to develop in-hospital complications. Independent predictors of developing HAVB were older age, ST-elevation myocardial infarction (STEMI), smoking and Killip class â¥Â 2 on admission. 30-day and 1-year mortality rates were significantly higher in the HAVB as compared to the non-HAVB group (24% vs. 4.9%, p < 0.01, 33.5% vs. 10%, p < 0.01, respectively). Multivariable logistic regression analysis revealed that, HAVB was associated with increased 30-day (OR - 3.97; 95% CI - 1.96-8.04) and 1-year mortality risk (HR - 2.02; 95% CI - 1.3-3.1). Similar estimates were obtained for STEMI and non-STEMI (NSTEMI). In conclusion, although the incidence of HAVB decreased over the last decade, the associated morbidity and mortality are still high in these patients despite early reperfusion therapy.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Electrocardiology - Volume 51, Issue 3, MayâJune 2018, Pages 386-391
Journal: Journal of Electrocardiology - Volume 51, Issue 3, MayâJune 2018, Pages 386-391
نویسندگان
Hilmi MD, Binyamin MD, Shmuel MD, Merav MD, Ran MD, Zaza MD, Ilan MD, Boris MD, Moti MD,