Potential Influential Factors of In-Hospital Myocardial Reinfarction in ST-Segment Elevation Myocardial Infarction (STEMI) Patients: Finding from the Improving Care for Cardiovascular Disease in China- (CCC-) Acute Coronary Syndrome (ACS) Project

In this study, 39915 inpatients with a discharge diagnosis of STEMI from the CCC-ACS project phase I and II were included. The prevalence of the medical history, clinical complications on admission and treatment during hospitalization in the STEMI inpatients with and without in-hospital reinfarction...

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Published in:Oxidative medicine and cellular longevity 2021, Vol.2021 (1), p.9977312
Main Authors: Cai, Xiaojie, Zhou, Juan, Li, Wenyuan, Cheng, Lele, Yuan, Zuyi, Xiao, Yihui
Format: Article
Language:English
Subjects:
Acute Coronary Syndrome - epidemiology
Acute Coronary Syndrome - therapy
Acute coronary syndromes
Aged
Anticoagulants
Blood pressure
Cardiac arrhythmia
Cardiovascular disease
Cardiovascular Diseases - epidemiology
Cardiovascular Diseases - therapy
Cerebrovascular disease
China
Chronic obstructive pulmonary disease
Data collection
Diabetes
Disease prevention
Ethics
Female
GDP
Geography
Gross Domestic Product
Heart attacks
Heart failure
Heart rate
Hemoglobin
Hospitalization
Hospitals
Humans
Hypertension
Male
Medical prognosis
Medical records
Myocardial Infarction - complications
Patients
Population
Risk Assessment
Risk Factors
ST Elevation Myocardial Infarction - complications
Vein & artery diseases
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Summary:In this study, 39915 inpatients with a discharge diagnosis of STEMI from the CCC-ACS project phase I and II were included. The prevalence of the medical history, clinical complications on admission and treatment during hospitalization in the STEMI inpatients with and without in-hospital reinfarction was presented. The factors that were differentially distributed and of critical clinical significance (e.g., age, sex, heart rate, smoking, MI history, HF history, COPD history, stroke, hypertension, diabetes, PCI treatment, administration of DAPT, and statins) were entered into standard Cox regression model and competing risk model for potential influential factors of in-hospital reinfarction. Patients with a higher heart rate (OR 1.018; 95% CI 1.003 to 1.033) were more susceptible to in-hospital reinfarction. Myocardial infarction history (OR 2.840; 95% CI 1.160 to 6.955) was a risk factor of in-hospital reinfarction independent of hypertension, diabetes, and dyslipidaemia.
ISSN:1942-0900
1942-0994
1942-0994
DOI:10.1155/2021/9977312