PMID- 32325887
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200928
IS  - 2077-0383 (Print)
IS  - 2077-0383 (Electronic)
IS  - 2077-0383 (Linking)
VI  - 9
IP  - 4
DP  - 2020 Apr 19
TI  - Observed and Expected Survival in Men and Women After Suffering a STEMI.
LID - 10.3390/jcm9041174 [doi]
LID - 1174
AB  - INTRODUCTION: Mortality caused by ST elevation myocardial infarction (STEMI) has 
      declined because of greater use of primary percutaneous coronary intervention 
      (PCI). It is unknown if patients >75 have similar survival as peers. We aim to 
      know it stratifying by sex and assessing how the sex may impact the survival. 
      METHODS: We retrospectively selected all patients >75 who suffered a STEMI 
      treated with primary PCI at our institution. We compared their survival with that 
      of the reference population (general population matched by age, sex, and 
      geographical region). A Cox-regression analysis controlling for clinical factors 
      was performed to know if sex was a risk factor. RESULTS: Total of 450 patients 
      were studied. Survival at 1, 3, and 5 years of follow-up for patients who 
      survived the first 30 days was 91.22% (CI95% 87.80-93.72), 79.71% (CI95% 
      74.58-83.92), and 68.02% (CI95% 60.66-74.3), whereas in the reference population 
      it was 93.11%, 79.10%, and 65.01%, respectively. Sex was not a risk factor, 
      Hazard Ratio = 1.02 (CI95% 0.67-1.53; p = 0.92). CONCLUSIONS: Life expectancy of 
      patients suffering a STEMI is nowadays intimately linked to survival in the first 
      30 days. After one year, the risk of death for both men and women seems similar 
      to that of the general population.
FAU - Pascual, Isaac
AU  - Pascual I
AD  - Department of Cardiology. Central University Hospital of Asturias, 33011 Oviedo, 
      Spain.
AD  - Research Institute of the Principado de Asturias, Oviedo, 33011, Spain.
AD  - Department of Functional Biology. Physiology Area. Faculty of Medicine. 
      University of Oviedo, 33006 Oviedo, Spain.
FAU - Hernandez-Vaquero, Daniel
AU  - Hernandez-Vaquero D
AD  - Research Institute of the Principado de Asturias, Oviedo, 33011, Spain.
AD  - Department of Functional Biology. Physiology Area. Faculty of Medicine. 
      University of Oviedo, 33006 Oviedo, Spain.
AD  - Cardiac Surgery Department. Central University Hospital of Asturias, 33011 
      Oviedo, Spain.
FAU - Almendarez, Marcel
AU  - Almendarez M
AD  - Department of Cardiology. Central University Hospital of Asturias, 33011 Oviedo, 
      Spain.
FAU - Lorca, Rebeca
AU  - Lorca R
AD  - Department of Cardiology. Central University Hospital of Asturias, 33011 Oviedo, 
      Spain.
AD  - Research Institute of the Principado de Asturias, Oviedo, 33011, Spain.
FAU - Escalera, Alain
AU  - Escalera A
AD  - Cardiac Surgery Department. Central University Hospital of Asturias, 33011 
      Oviedo, Spain.
FAU - Diaz, Rocio
AU  - Diaz R
AD  - Research Institute of the Principado de Asturias, Oviedo, 33011, Spain.
AD  - Cardiac Surgery Department. Central University Hospital of Asturias, 33011 
      Oviedo, Spain.
FAU - Alperi, Alberto
AU  - Alperi A
AD  - Department of Cardiology. Central University Hospital of Asturias, 33011 Oviedo, 
      Spain.
FAU - Carnero, Manuel
AU  - Carnero M
AD  - Cardiac Surgery Department. San Carlos Clinic Hospital. 28040 Madrid, Spain.
FAU - Silva, Jacobo
AU  - Silva J
AD  - Cardiac Surgery Department. Central University Hospital of Asturias, 33011 
      Oviedo, Spain.
AD  - Department of Surgery. Faculty of Medicine. University of Oviedo, 33006 Oviedo, 
      Spain.
FAU - Moris, Cesar
AU  - Moris C
AD  - Department of Cardiology. Central University Hospital of Asturias, 33011 Oviedo, 
      Spain.
AD  - Research Institute of the Principado de Asturias, Oviedo, 33011, Spain.
AD  - Department of Medicine. Faculty of Medicine. University of Oviedo, 33006 Oviedo, 
      Spain.
FAU - Avanzas, Pablo
AU  - Avanzas P
AD  - Department of Cardiology. Central University Hospital of Asturias, 33011 Oviedo, 
      Spain.
AD  - Research Institute of the Principado de Asturias, Oviedo, 33011, Spain.
AD  - Department of Medicine. Faculty of Medicine. University of Oviedo, 33006 Oviedo, 
      Spain.
LA  - eng
PT  - Journal Article
DEP - 20200419
PL  - Switzerland
TA  - J Clin Med
JT  - Journal of clinical medicine
JID - 101606588
PMC - PMC7230566
OTO - NOTNLM
OT  - gender
OT  - life expectancy
OT  - myocardial infarction
COIS- The authors declare no conflicts of interest.
EDAT- 2020/04/25 06:00
MHDA- 2020/04/25 06:01
PMCR- 2020/04/19
CRDT- 2020/04/25 06:00
PHST- 2020/03/25 00:00 [received]
PHST- 2020/04/16 00:00 [revised]
PHST- 2020/04/17 00:00 [accepted]
PHST- 2020/04/25 06:00 [entrez]
PHST- 2020/04/25 06:00 [pubmed]
PHST- 2020/04/25 06:01 [medline]
PHST- 2020/04/19 00:00 [pmc-release]
AID - jcm9041174 [pii]
AID - jcm-09-01174 [pii]
AID - 10.3390/jcm9041174 [doi]
PST - epublish
SO  - J Clin Med. 2020 Apr 19;9(4):1174. doi: 10.3390/jcm9041174.