LONG TERM SURVIVAL OF MYOCARDIAL INFARCTION PATIENTS COMPLICATED WITH CARDIOGENIC SHOCK
Aim. To study the parameters of long term survival of patients with myocardial infarction (MI), complicated with cardiogenic shock (CS) and the main medical and social factor influencing survival rate. Material and methods. The patients included in the study were treated in Kemerovo Cardiological di...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | Russian |
| Published: |
«SILICEA-POLIGRAF» LLC
2015-04-01
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| Series: | Кардиоваскулярная терапия и профилактика |
| Subjects: | |
| Online Access: | https://cardiovascular.elpub.ru/jour/article/view/260 |
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| Summary: | Aim. To study the parameters of long term survival of patients with myocardial infarction (MI), complicated with cardiogenic shock (CS) and the main medical and social factor influencing survival rate. Material and methods. The patients included in the study were treated in Kemerovo Cardiological dispensary in 2006-2011 yy. Number of patients was 6462, of those with cardiogenic shock — 493. Statistics was done with the standard licensed software "Statistica 6.0". For survival estimation we used the methods of tables construction on life duration and multiplying Kaplan-Meier marks. Results. During 2006-2011 yy. CS developed in 7,6%. Among patients more prevalent were older and retired ages, the comorbidity level was high (anamesis of MI and stroke, diabetes and chronic obstructive lung disease). Annual survival rate in CS was 9,6%, triannual — 7,9%.Conclusion. Long term survival rate is negatively correlated with the age and does not depend on the patients' gender. Retired and older age, disability, anamnesis of MI, significant aortic stenosis, prominent chronic heart failure, multivessel coronary disease are associated with lower long-term survival rate. Reperfusion therapy by percutaneous intervention, the use of intraaortal balloon contrapulsation and renal replacement therapy in the complex CS therapy significantly improve long term survival of patients. |
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| ISSN: | 1728-8800 2619-0125 |