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6 - Two years mortality in patients with myocardial infarction in our center that can not be done interventional therapy
Fatma Alibaz Öner, Mecdi Ergüney, Mustafa Kemal Arslantaş
Objective: The study was aimed to examine clinical and demographic characteristics, in-hospital and two years mortality of 92 patients hospitalized for acute myocardial infarction (MI) between January 2005-December 2005 in our hospital that can not made invasive therapy.
Methods: Records of patients were reviewed retrospectively. Two years moratlitiy was taken about by calling phone. For statistical evaluations, SPSS 16.0 for Windows software was used.
Results: Mean age of 92 patients was 58.1±10.14 years. Seventy-three of the patients were male and 19 were female. Non-ST elevation MI was found in 8 (9%) patients and ST-elevation MI in 84 (91%). Forty one (4%%) patients received thrombolytic treatment , 51 (65%) did not due to reaching to the hospital lately or several counter indication. Seventeen patients died at admission. In-hospital mortality rate is significantly lower in patients receiving thrombolitic (p=0.045). Thirty-three patients developed complication at admission. The most frequent complication was cardiogenic shock. In two years after discharcing th patients; two years moratlity was significantly lower in patients receiving thrombolitic (p<0,05). There was no difference in new ACS between two groups.
Conclusion: Although cardiovascular death is the most common cause of death, a few centers in our country are able to perform interventions in acute coronary syndromes. This increases the importance of centers performing thrombolytic treatment such as our one. In the current study, a substantial proportion of patients did not receive thrombolytic treatment due to delayed admission to the hospital.In-hospital and two years mortality was significantly lower among those receiving thrombolytic treatment. Hence, the community should be appropriately informed to allow the early admission to the hospital.
Keywords: Myocardial infarction, thrombolytic, mortality
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