Tags

Type your tag names separated by a space and hit enter

Patterns of presentation and outcomes of patients with acute coronary syndromes.
Cardiology. 2009; 113(3):198-206.C

Abstract

OBJECTIVES

We undertook this study to assess the relationship between presentation pattern and mortality in patients with acute coronary syndrome (ACS) undergoing percutaneous coronary intervention.

METHODS

This registry included 10,455 patients with ACS, of whom 2,853 patients had ST-segment elevation myocardial infarction(STEMI), 3,060 patients had non-ST-segment elevation myocardial infarction (NSTEMI) and 4,542 patients had unstable angina. The primary outcome was 1-year mortality.

RESULTS

At 1 year there were 976 deaths, 390 (13.7%) among STEMI patients, 366 (12.0%) among NSTEMI patients and 220 (4.8%) among patients with unstable angina (OR = 1.17, 95% CI 1.01-1.35 for STEMI vs. NSTEMI; OR = 3.00, 95% CI 2.56-3.51 for STEMI vs. unstable angina, and OR = 2.58, 95% CI 2.20-3.04 for NSTEMI vs. unstable angina). In the Cox proportional hazards model ACS form was an independent correlate of 1-year mortality (HR = 0.90, 95% CI 0.73-1.13 for STEMI vs. NSTEMI; HR = 1.56, 95% CI 1.13-2.14 for STEMI vs. unstable angina; HR = 1.72, 95% CI 1.30-2.29 for NSTEMI vs. unstable angina).

CONCLUSIONS

The presentation pattern affects 1-year mortality in patients with ACS, with unadjusted mortality being highest in patients with STEMI and lowest in patients with unstable angina.

Authors+Show Affiliations

Deutsches Herzzentrum, Technische Universitat, Lazarettstrasse 36, Munich, Germany. ndrepepa@dhm.mhn.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19208990

Citation

Ndrepepa, Gjin, et al. "Patterns of Presentation and Outcomes of Patients With Acute Coronary Syndromes." Cardiology, vol. 113, no. 3, 2009, pp. 198-206.
Ndrepepa G, Mehilli J, Schulz S, et al. Patterns of presentation and outcomes of patients with acute coronary syndromes. Cardiology. 2009;113(3):198-206.
Ndrepepa, G., Mehilli, J., Schulz, S., Iijima, R., Keta, D., Byrne, R. A., Pache, J., Seyfarth, M., Schömig, A., & Kastrati, A. (2009). Patterns of presentation and outcomes of patients with acute coronary syndromes. Cardiology, 113(3), 198-206. https://doi.org/10.1159/000201273
Ndrepepa G, et al. Patterns of Presentation and Outcomes of Patients With Acute Coronary Syndromes. Cardiology. 2009;113(3):198-206. PubMed PMID: 19208990.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Patterns of presentation and outcomes of patients with acute coronary syndromes. AU - Ndrepepa,Gjin, AU - Mehilli,Julinda, AU - Schulz,Stefanie, AU - Iijima,Raisuke, AU - Keta,Dritan, AU - Byrne,Robert A, AU - Pache,Jürgen, AU - Seyfarth,Melchior, AU - Schömig,Albert, AU - Kastrati,Adnan, Y1 - 2009/02/11/ PY - 2008/08/29/received PY - 2008/10/09/accepted PY - 2009/2/12/entrez PY - 2009/2/12/pubmed PY - 2009/8/14/medline SP - 198 EP - 206 JF - Cardiology JO - Cardiology VL - 113 IS - 3 N2 - OBJECTIVES: We undertook this study to assess the relationship between presentation pattern and mortality in patients with acute coronary syndrome (ACS) undergoing percutaneous coronary intervention. METHODS: This registry included 10,455 patients with ACS, of whom 2,853 patients had ST-segment elevation myocardial infarction(STEMI), 3,060 patients had non-ST-segment elevation myocardial infarction (NSTEMI) and 4,542 patients had unstable angina. The primary outcome was 1-year mortality. RESULTS: At 1 year there were 976 deaths, 390 (13.7%) among STEMI patients, 366 (12.0%) among NSTEMI patients and 220 (4.8%) among patients with unstable angina (OR = 1.17, 95% CI 1.01-1.35 for STEMI vs. NSTEMI; OR = 3.00, 95% CI 2.56-3.51 for STEMI vs. unstable angina, and OR = 2.58, 95% CI 2.20-3.04 for NSTEMI vs. unstable angina). In the Cox proportional hazards model ACS form was an independent correlate of 1-year mortality (HR = 0.90, 95% CI 0.73-1.13 for STEMI vs. NSTEMI; HR = 1.56, 95% CI 1.13-2.14 for STEMI vs. unstable angina; HR = 1.72, 95% CI 1.30-2.29 for NSTEMI vs. unstable angina). CONCLUSIONS: The presentation pattern affects 1-year mortality in patients with ACS, with unadjusted mortality being highest in patients with STEMI and lowest in patients with unstable angina. SN - 1421-9751 UR - https://www.unboundmedicine.com/medline/citation/19208990/Patterns_of_presentation_and_outcomes_of_patients_with_acute_coronary_syndromes_ L2 - https://www.karger.com?DOI=10.1159/000201273 DB - PRIME DP - Unbound Medicine ER -