TY - JOUR
T1 - Immediate and long-term prognostic significance of a first anterior versus first inferior wall Q-wave acute myocardial infarction
AU - Behar, Solomon
AU - Rabinowitz, Babeth
AU - Zion, Monty
AU - Reicher-Reiss, Henrietta
AU - Kaplinsky, Elieser
AU - Abinader, Edward
AU - Agmon, Jacob
AU - Friedman, Yaacov
AU - Kishon, Yehezkiel
AU - Palant, Abraham
AU - Peled, Benyamin
AU - Reisin, Leonardo
AU - Schlesinger, Zwi
AU - Zahavi, Izhar
AU - Goldbourt, Uri
PY - 1993/12/15
Y1 - 1993/12/15
N2 - Of 3,981 patients with a first Q-wave acute myocardial infarction (AMI), 1,929 (48%) had an anterior and 1,724 (43%) an inferior wall AMI. These 2 groups were well-matched with respect to age, gender and relevant history. The in-hospital mortality rate was 18%, and the 1- and 5-year postdischarge mortality rates were 9 and 25%, respectively, in patients with anterior wall AMI compared with the corresponding rates of 11, 6 and 19% in those with inferior wall AMI (p < 0.0001 for each category). The frequency of recurrent nonfatal AMI in the year after the index AMI was 8% in the patients with anterior wall AMI compared with 4% in those with inferior wall AMI (p < 0.0001). By multiple logistic regression analysis of events, anterior wall AMI was an independent predictor of in-hospital mortality only. The findings indicate that the anatomic location of a Q-wave AMI influences immediate and short-term survival of patients with a first Q-wave AMI.
AB - Of 3,981 patients with a first Q-wave acute myocardial infarction (AMI), 1,929 (48%) had an anterior and 1,724 (43%) an inferior wall AMI. These 2 groups were well-matched with respect to age, gender and relevant history. The in-hospital mortality rate was 18%, and the 1- and 5-year postdischarge mortality rates were 9 and 25%, respectively, in patients with anterior wall AMI compared with the corresponding rates of 11, 6 and 19% in those with inferior wall AMI (p < 0.0001 for each category). The frequency of recurrent nonfatal AMI in the year after the index AMI was 8% in the patients with anterior wall AMI compared with 4% in those with inferior wall AMI (p < 0.0001). By multiple logistic regression analysis of events, anterior wall AMI was an independent predictor of in-hospital mortality only. The findings indicate that the anatomic location of a Q-wave AMI influences immediate and short-term survival of patients with a first Q-wave AMI.
UR - https://www.scopus.com/pages/publications/23444461616
U2 - 10.1016/0002-9149(93)90181-B
DO - 10.1016/0002-9149(93)90181-B
M3 - Article
AN - SCOPUS:23444461616
SN - 0002-9149
VL - 72
SP - 1366
EP - 1370
JO - American Journal of Cardiology
JF - American Journal of Cardiology
IS - 18
ER -