Acute myocardial infarction: predictors of mortality at a public hospital in the city of Fortaleza, Ceará state

• Published in: Arquivos brasileiros de cardiologia 2003-06, Vol.80 (6), p.614-620
• Main Authors: Ribeiro, Demóstenes Gonçalves Lima, de Andrade, Pedro José Negreiros, Paes J nior, José Nogueira, Saraiva, Lurildo Ribeiro
• Format: Article
• Language: English
• Subjects: Aged; Aged, 80 and over; Arteriosclerosis - etiology; Brazil - epidemiology; CARDIAC & CARDIOVASCULAR SYSTEMS; diabetes mellitus; elderly; Electrocardiography; Emergency Medical Services; Epidemiologic Methods; Female; Hospital Mortality; Humans; in-hospital mortality; Killip functional class; Male; Middle Aged; myocardial infarction; Myocardial Infarction - mortality; Smoking - adverse effects; Time Factors
• ISSN: 0066-782X; 1678-4170; 1678-4170
• DOI: 10.1590/s0066-782x2003000600004

To identify the clinical and demographic predictors of in-hospital mortality in acute myocardial infarction with elevation of the ST segment in a public hospital, in the city of Fortaleza, Ceará state, Brazil. A retrospective study of 373 patients experiencing their first episode of acute myocardial infarction was carried out. Of the study patients, 289 were discharged from the hospital (group A) and 84 died (group B). Both groups were analyzed regarding: sex; age; time elapsed from the beginning of the symptoms of myocardial infarction to assistance at the hospital; use of streptokinase; risk factors for atherosclerosis; electrocardiographic location of myocardial infarct; and Killip functional class. In a univariate analysis, group B had a greater proportion of the following parameters as compared with group A: non-Killip I functional class; diabetes; age >70 years; infarction of the inferior wall associated with right ventricular impairment; time between symptom onset and treatment at the hospital >12 h; anteroseptal or extensive anterior infarction; no use of streptokinase; and no tobacco use. In a multivariate logistic regression analysis, only non-Killip I functional class, diabetes, and age >70 years persisted as independent factors for death. Non-Killip I functional class, diabetes, and age >70 years were independent predictors of mortality in acute myocardial infarction with elevation of the ST segment.