Key result
Acute myocardial infarction complicating acute ischemic stroke was associated with significantly higher in-hospital mortality compared to stroke without AMI (21.4% vs 7.1%, P<0.001).
Why the study?
Does acute myocardial infarction complicating acute ischemic stroke increase in-hospital mortality?
Population
864,043 patients admitted with acute ischemic stroke between 2003 and 2014 identified from the National…
Comparison
Acute myocardial infarction complicating acute… vs Propensity-matched patients with acute ischemic…
Design
Cohort
Follow-up
in-hospital
Authors
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AMI complicating AIS signals substantially higher mortality risk; leaves open whether targeted coronary evaluation improves outcomes.
Observational (n=864,043)
Yes
Does acute myocardial infarction complicating acute ischemic stroke increase in-hospital mortality?
Absolute Event Rate: 21.4% vs 7.1%
p-value: p=<0.001
Acute myocardial infarction complicating acute ischemic stroke is associated with a three-fold increase in in-hospital mortality, yet coronary angiography and PCI are utilized in a small minority of these patients despite correlating with improved survival.
Alqahtani et al. (2017) conducted an observational in Acute Ischemic Stroke (n=864,043). Acute myocardial infarction vs. No acute myocardial infarction was evaluated on In-hospital mortality (p=<0.001). Acute myocardial infarction complicating acute ischemic stroke was associated with significantly higher in-hospital mortality compared to stroke without AMI (21.4% vs 7.1%, P<0.001).
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