PMID- 30375980
OWN - NLM
STAT- MEDLINE
DCOM- 20190314
LR  - 20190314
IS  - 0023-7213 (Print)
IS  - 0023-7213 (Linking)
VI  - 104
IP  - 11
DP  - 2018 Nov
TI  - [Long-term survival of patients with acute myocardial infarction in Iceland].
PG  - 491-497
LID - 10.17992/lbl.2018.11.203 [doi]
AB  - INTRODUCTION: Despite the decreasing incidence rate of acute coronary syndromes 
      worldwide, the incidence of NSTEMI (Non- ST elevation myocardial infarction) has 
      increased relative to STEMI (ST elevation myocardial infarction). The aim of this 
      study was to compare long-term survival rates of NSTEMI and STEMI patients and to 
      explore the effects of risk factors on survival. MATERIAL AND METHODS: All 
      patients hospitaized for acute myocardial infarction at Landspitali University 
      Hospital during the calendar year of 2006 were included in the study. Information 
      about risk factors was obtained using electronic medical records. The primary 
      endpoint was all cause mortality, the secondary endpoint was defined as death or 
      myocardial infartion. Patients were followed up to January 1st 2015. RESULTS: 
      Among 447 patients diagnosed with acute myocardial infarction in Iceland in 2006, 
      280 patients were diagnosed with NSTEMI (I21.4) and 167 with STEMI (I21, I21.9). 
      NSTEMI and STEMI incidence rates per 100.000 inhabitants in Iceland were 91.3 and 
      55.9, respectively. The mean age of NSTEMI patients was 73.0 years, women were on 
      average 8.4 years older than men. The mean age of STEMI patients was 65.3 years, 
      women were on average 7.3 years older than men. The five-year survival rate for 
      NSTEMI patients was 51%, 42% among women and 57% among men. The five-year 
      survival rate for STEMI patients was 77%, 68% among women and 80% among men. Five 
      year age-adjusted survival rates were higher for STEMI than NSTEMI (logrank: p 
      <0.01). CONCLUSION: The incidence of NSTEMI was higher than that of STEMI in 
      Iceland in 2006. The worse prognosis of women as compared to men was due to the 
      higher mean age of women. Overall, long-term survival of NSTEMI patients was 
      worse than that of STEMI patients even after adjustment for difference in age.
FAU - Snorrason, Einar Logi
AU  - Snorrason EL
AD  - Faculty of Medicine, University of Iceland.
FAU - Johannnesdottir, Bergros Kristin
AU  - Johannnesdottir BK
AD  - Haukeland University Hospital, Bergen, Norway.
FAU - Aspelund, Thor
AU  - Aspelund T
AD  - Icelandic Heart Association.
FAU - Gudnason, Vilmundur
AU  - Gudnason V
AD  - Faculty of Medicine, University of Iceland, Icelandic Heart Association.
FAU - Andersen, Karl
AU  - Andersen K
AD  - Department of Cardiology, Landspitali University Hospital, Reykjavik, Iceland.
LA  - ice
PT  - Comparative Study
PT  - Journal Article
PL  - Iceland
TA  - Laeknabladid
JT  - Laeknabladid
JID - 7901326
SB  - IM
MH  - Adult
MH  - Age Distribution
MH  - Age Factors
MH  - Aged
MH  - Aged, 80 and over
MH  - Electronic Health Records
MH  - Female
MH  - Hospitalization
MH  - Humans
MH  - Iceland/epidemiology
MH  - Incidence
MH  - Male
MH  - Middle Aged
MH  - Non-ST Elevated Myocardial Infarction/diagnosis/*epidemiology/mortality/therapy
MH  - Risk Assessment
MH  - Risk Factors
MH  - ST Elevation Myocardial Infarction/diagnosis/*epidemiology/mortality/therapy
MH  - Sex Distribution
MH  - Sex Factors
MH  - *Survivors
MH  - Time Factors
MH  - Treatment Outcome
MH  - Young Adult
OTO - NOTNLM
OT  - Non ST elevation myocardial infarction
OT  - ST elevation myocardial infarction
OT  - acute myocardial infarction
OT  - long term survival
OT  - prognosis
EDAT- 2018/10/31 06:00
MHDA- 2019/03/15 06:00
CRDT- 2018/10/31 06:00
PHST- 2018/10/31 06:00 [entrez]
PHST- 2018/10/31 06:00 [pubmed]
PHST- 2019/03/15 06:00 [medline]
AID - 10.17992/lbl.2018.11.203 [doi]
PST - ppublish
SO  - Laeknabladid. 2018 Nov;104(11):491-497. doi: 10.17992/lbl.2018.11.203.