scholarly journals Lyubertsy Study of mortality in patients with acute myocardial infarction (LIS): the analysis of anamnestic predictors of in-hospital mortality

2012 ◽  
Vol 11 (1) ◽  
pp. 45-48 ◽  
Author(s):  
S. Yu. Martsevich ◽  
M. L. Ginsburg ◽  
N. P. Kutishenko ◽  
A. D. Deev ◽  
A. V. Fokina ◽  
...  
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Psychosocial Risk ◽  
Hospital Death ◽  
Hospitalised Patients ◽  
District Hospitals ◽  
The Russian Federation ◽  
Age And Sex

Aim. To identify the main anamnestic predictors of mortality in the acute phase of acute myocardial infarction (AMI). Material and methods. The study included all patients admitted to Lyubertsy District hospitals and diagnosed with AMI (n=1133). Results. Out of 1133 hospitalised patients, 172 died in the hospital; in-hospital lethality was 15,2%. Mean age of diseased patients was significantly higher than that in those survived. The risk of in-hospital death was significantly and independently associated with older age (relative risk 1,07). After adjustment for age and sex, other independent predictors of in-hospital AMI death included diabetes mellitus (DM), low physical activity, and selected psychosocial factors. Conclusion. The in-hospital lethality levels, observed in the LIS Study, were typical for the Russian Federation. The main anamnestic predictors of in-hospital death were low physical activity, DM, and psychosocial risk factors.

scholarly journals Acute coronary syndrome: especially treatment and rehabilitation on a stationary stage

2019 ◽  
Vol 10 (4) ◽  
pp. 12-16
Author(s):  
Nikolai N. Zolotukhin ◽  
Aleksandr V. Kon’kov
Keyword(s):  
Physical Activity ◽  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Acute Coronary Syndrome ◽  
Medical Rehabilitation ◽  
Maximum Frequency ◽  
Rehabilitation Center ◽  
Coronary Syndrome ◽  
Production Complex ◽  
The Russian Federation

Introduction to medical practice of the term «acute coronary syndrome» (ACS) showed increased interest in the problems of not only the features of the occurrence, the course of acute myocardial infarction (AMI) and unstable angina (UA), the effectiveness of treatment methods, but also the re-evaluation of the system of medical rehabilitation. Aim. To assess the features of treatment and comprehensive medical rehabilitation in AMI and UA of the Ministry of Internal Affairs of Russia (MIA), the ratio of these diseases in the structure of ACS in the treatment and rehabilitation in the Main Clinical Hospital of the MIA. Materials and methods. Over a period of 4 years treated and conducted medical rehabilitation 551 persons in the MIA, of which 152 police officer. The criterion for inclusion in the study was the presence of AMI or UA. Examination and treatment of AMI and UA was carried out in strict accordance with the approved standards. Medical rehabilitation was carried out by the method of Russian Cardiology Research and Production Complex of the Ministry of Health of the Russian Federation with the use of the dosed physical activity. Results. Of the total number of diseases, ACS was most often diagnosed in pensioners of the MIA. In the structure of the ACS, the MIA most often identifies AMI, 28-29 cases annually. The maximum frequency of the hospitalizations and 46 cases of ACS from the employees of the MIA recorded in 2015. Among pensioners of the MIA the number of ACS was maximum - 399 in comparison with employees of the MIA - 152. It should be noted that the MIA staff is dominated by AMI, pensioners - UA. For further rehabilitation, 135 patients were transferred to a rehabilitation center, most of whom were diagnosed with AMI. Transfer to the rehabilitation center for ACS for further rehabilitation was carried out up to 38% of patients with AMI and up to 4% of UA. Conclusion. The presence of the rehabilitation center in the structure of MIA allows optimal stage-by-stage medical rehabilitation of patients with ACS.

In-hospital mortality after acute myocardial infarction in patients with diabetes mellitus

2000 ◽  
Vol 9 (3) ◽  
pp. 168-179 ◽  
Author(s):  
D Chyun ◽  
J Obata ◽  
J Kling ◽  
C Tocchi
Keyword(s):  
Diabetes Mellitus ◽  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Hospital Mortality ◽  
Odds Ratio ◽  
Hospital Death ◽  
Case Group ◽  
Term Survival ◽  
Control Subjects ◽  
Patients With Diabetes

OBJECTIVES: To examine in-hospital mortality after acute myocardial infarction in patients with diabetes mellitus. METHODS: All patients in an 800-bed teaching hospital who had a discharge diagnosis of myocardial infarction, verified by creatine kinase levels at admission, between 1991 and 1993 made up the study population. All 118 such patients who died during this period made up the case group. Two control subjects (n = 236), survivors of the hospitalization, matched by sex, age, and length of hospitalization, were selected randomly for each case. Information on the presence of diabetes mellitus, medical history, and data related to myocardial infarction were obtained through retrospective chart review. RESULTS: The mean age of all subjects in the study was 76 years. Thirty-three percent of the patients in the case group and 31% of the control subjects had a history of diabetes mellitus (odds ratio = 1.04; 95% CI, 0.64-1.70), indicating that diabetes mellitus was not associated with an increased risk of in-hospital death. The adjusted odds ratio was 1.10 (95% CI, 0.48-2.51) in patients with non-insulin-treated diabetes mellitus and 0.80 (95% CI, 0.34-1.86) in insulin-treated patients. Multivariate analysis, with conditional logistic regression, confirmed that known prognostic factors for myocardial infarction, rather than diabetic status, are predictive of in-hospital mortality. CONCLUSIONS: Once the effects of age are accounted for, the risk of in-hospital mortality is not greater in patients with diabetes mellitus than in patients without diabetes; however, diabetes mellitus may be an important factor for long-term survival.

Circadian Variation in the Onset of Acute Myocardial Infarction: Lack of an Effect due to Age and Sex

1993 ◽  
Vol 21 (3) ◽  
pp. 158-160 ◽  
Author(s):  
M Gallerani ◽  
R Manfredini ◽  
L Ricci ◽  
C Goldoni ◽  
A Cocurullo ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Circadian Rhythms ◽  
Prospective Study ◽  
Circadian Variation ◽  
Age Group ◽  
A Prospective Study ◽  
Circadian Patterns ◽  
Age And Sex

The circadian patterns in the onset of symptoms of acute myocardial infarction were assessed in a prospective study involving 450 patients. Analysis of the data in the 424 patients in whom the time of onset was known did not show any statistically significant circadian rhythms, either for the group as a whole or for subgroups divided according to sex, age group (< 60, 60 − 69, 70 − 79 and ≥ 80 years old), or the presence or absence of diabetes mellitus. The frequency of onset of symptoms was highest in the morning (06.01 − 12.00 h) for the group as a whole (29.2%). Patients aged < 70 and ≥ 80 years old showed a peak in the morning, whereas patients aged 70 − 79 years old showed a peak in the afternoon (12.01 − 18.00 h).

scholarly journals Importance of Geospatial Heterogeneity in Chronic Disease Burden for Policy Planning in an Urban Setting Using a Case Study of Singapore

2021 ◽  
Vol 18 (9) ◽  
pp. 4406
Author(s):  
Ken Wei Tan ◽  
Joel R. Koo ◽  
Jue Tao Lim ◽  
Alex R. Cook ◽  
Borame L. Dickens
Keyword(s):  
Diabetes Mellitus ◽  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Chronic Disease ◽  
Type Ii Diabetes ◽  
Census Data ◽  
Type Ii Diabetes Mellitus ◽  
Urban Setting ◽  
Type Ii

Chronic disease burdens continue to rise in highly dense urban environments where clustering of type II diabetes mellitus, acute myocardial infarction, stroke, or any combination of these three conditions is occurring. Many individuals suffering from these conditions will require longer-term care and access to clinics which specialize in managing their illness. With Singapore as a case study, we utilized census data in an agent-modeling approach at an individual level to estimate prevalence in 2020 and found high-risk clusters with >14,000 type II diabetes mellitus cases and 2000–2500 estimated stroke cases. For comorbidities, 10% of those with type II diabetes mellitus had a past acute myocardial infarction episode, while 6% had a past stroke. The western region of Singapore had the highest number of high-risk individuals at 173,000 with at least one chronic condition, followed by the east at 169,000 and the north with the least at 137,000. Such estimates can assist in healthcare resource planning, which requires these spatial distributions for evidence-based policymaking and to investigate why such heterogeneities exist. The methodologies presented can be utilized within any urban setting where census data exists.

Relation of Chronic and Acute Glycemic Control on Mortality in Acute Myocardial Infarction With Diabetes Mellitus

2005 ◽  
Vol 96 (2) ◽  
pp. 183-186 ◽  
Author(s):  
Jie J. Cao ◽  
Michael Hudson ◽  
Michelle Jankowski ◽  
Fred Whitehouse ◽  
W. Douglas Weaver
Keyword(s):  
Diabetes Mellitus ◽  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Glycemic Control
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