Clinical effects of hypertension on the mortality of patients with acute myocardial infarction

The incidence of ischemic heart disease has been increased rapidly in Korea. However, the clinical effects of antecedent hypertension on acute myocardial infarction have not been identified. We assessed the relationship between antecedent hypertension and clinical outcomes in 7,784 patients with acu...

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Bibliographic Details
Published in:Journal of Korean medical science 2009, 24(5), 132, pp.800-806
Main Authors: Kang, Dong Goo, Jeong, Myung Ho, Ahn, Yongkeun, Chae, Shung Chull, Hur, Seung Ho, Hong, Taek Jong, Kim, Young Jo, Seong, In Whan, Chae, Jei Keon, Rhew, Jay Young, Chae, In Ho, Cho, Myeong Chan, Bae, Jang Ho, Rha, Seung Woon, Kim, Chong Jin, Jang, Yang Soo, Yoon, Junghan, Seung, Ki Bae, Park, Seung Jung
Format: Article
Language:English
Subjects:
Acute Disease
Age Factors
Aged
Cerebrovascular Disorders - etiology
Diabetes Mellitus - etiology
Female
Heart Failure - etiology
Hospital Mortality
Humans
Hyperlipidemias - etiology
Hypertension - complications
Male
Middle Aged
Myocardial Infarction - complications
Myocardial Infarction - mortality
Myocardial Infarction - therapy
Original
Peripheral Vascular Diseases - etiology
Predictive Value of Tests
Registries
Sex Factors
의학일반
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Summary:The incidence of ischemic heart disease has been increased rapidly in Korea. However, the clinical effects of antecedent hypertension on acute myocardial infarction have not been identified. We assessed the relationship between antecedent hypertension and clinical outcomes in 7,784 patients with acute myocardial infarction in the Korea Acute Myocardial Infarction Registry during one-year follow-up. Diabetes mellitus, hyperlipidemia, cerebrovascular disease, heart failure, and peripheral artery disease were more prevalent in hypertensives (n=3,775) than nonhypertensives (n=4,009). During hospitalization, hypertensive patients suffered from acute renal failure, shock, and cerebrovascular event more frequently than in nonhypertensives. During follow-up of one-year, the incidence of major adverse cardiac events was higher in hypertensives. In multi-variate adjustment, old age, Killip class > or =III, left ventricular ejection fraction
ISSN:1011-8934
1598-6357
DOI:10.3346/jkms.2009.24.5.800