Key result
In patients ≥70 years surviving acute MI, congestive heart failure during hospitalization reduced 5-year survival to <25%, compared with ~60% for those without heart failure or complex arrhythmias.
Why the study?
What factors affect long-term prognosis in patients aged 70 years and older surviving acute myocardial infarction?
Population
46 patients aged 70 years and older who survived initial hospitalization after admission to a coronary care…
Design
Cohort
Follow-up
up to approximately 6 years (1976 to April 30, 1982)
Authors
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May identify elderly post-MI patients for intensified monitoring; hypothesis-generating for targeted interventions to improve survival.
Cohort (n=46)
What factors affect long-term prognosis in patients aged 70 years and older surviving acute myocardial infarction?
Absolute Event Rate: 25% vs 60%
Congestive heart failure and complex ventricular premature beats are significant predictors of poor long-term survival in elderly patients surviving an acute myocardial infarction.
Neil D. Berman (1983) conducted a cohort in Acute myocardial infarction (n=46). Congestive heart failure and complex ventricular premature beats vs. Neither heart failure nor complex ventricular premature beats was evaluated on 5-year survival. In patients ≥70 years surviving acute MI, congestive heart failure during hospitalization reduced 5-year survival to <25%, compared with ~60% for those without heart failure or complex arrhythmias.
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