Multivariate Survival Analysis of Early Death Prognosis of Acute Myocardial Infarction_West China Medical Journal

Authors：

 WANGJian ¹ , HUHai ² , CHENJin-gang ² ,  TANGShi-yuan ²

1. Department of Emergency, Ziyang First People's Hospital, Ziyang, Sichuan 641300, P. R. China;
2. Department of Emergency, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

TANGShi-yuan, Email: tangshiyuan266@163.com

Keywords：

Acute myocardial infarction; Mortality risk; Age; Isoenzymes of creatine kinase

DOI：

10.7507/1002-0179.20140311

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To evaluate the prognosis factors for early death (within 60 days) of acute myocardial infarction (AMI) patients for early identification and prevention of the disease. Methods We analyzed the information of AML patients who were admitted to the emergency department between May 2009 and July 2010, and analyzed their clinical data, such as gender, age, prehospital time, myocardial enzyme, electrocardiogram, complications, whether the patients had thrombolysis therapy, time of thrombolysis, end point observation and time of death, ect. Cox multivariate survival analysis was performed with the use of SPSS 18.0 software. Results Seventy-one cases were collected with one of them excluded for fragmented data. After analysing, we found that patients' age and isoenzymes of creatine kinase (CK-MB) level were prognosis factors for early death. Further analysis showed that the relative risk (RR) of age was 1.166 (P=0.023), and the RR of CK-MB was 1.001 (P=0.004). Conclusion Patients' age has predictive value for early death of AML. More attention should be paid to AML patients with advanced age. Detecting myocardial enzymes levels, especially the CK-MB level, is significant for predicting early death. Other indicators need to be further explored due to the possible limitation of our study.

Citation： WANGJian, HUHai, CHENJin-gang, TANGShi-yuan. Multivariate Survival Analysis of Early Death Prognosis of Acute Myocardial Infarction. West China Medical Journal, 2014, 29(6): 1019-1021. doi: 10.7507/1002-0179.20140311 Copy

1.	李文文, 馬麗萍, 秦永文, 等. 急性心肌梗死患者院內死亡及影響因素的回顧性分析[J]. 第二軍醫大學學報, 2013, 34(11): 1187-1193.
2.	張先林, 王岳松, 章萍, 等. 急性心肌梗死患者經橈動脈行急診介入治療的臨床分析[J]. 中華全科醫學, 2013, 11(12): 1875-1876.
3.	王淑華. 急性心肌梗塞在急診室的溶栓救治臨床觀察[J]. 內蒙古醫科大學學報, 2013, 35(S1): 94-95.
4.	高戎, 錢駿, 徐建如. KAMIR評分與GRACE評分預測急性心肌梗死患者一年死亡率的臨床研究[J]. 中國急救醫學, 2013, 33(2): 140-142.
5.	鐘光珍, 那開憲. 全球心肌梗死統一定義指南解讀[J]. 中國臨床醫生, 2009, 37(4): 70-71.
6.	蒲澤晏, 龔國忠, 劉世軍, 等. 心肌標志物檢測在早期診斷急性心肌梗死中的價值[J]. 國際檢驗醫學雜志, 2014, 35(2): 144-145.
7.	文朝. 心肌壞死標志物聯合檢測在急性心肌梗死早期診斷及鑒別中的意義[J]. 中國實驗診斷學, 2013, 17(11): 2013-2015.
8.	李艷, 于海初, 王其新. 急性冠脈綜合征患者NT-proBNP、超敏C反應蛋白及心肌酶學相關研究[J]. 中國循證心血管醫學雜志, 2011, 3(1): 50-52.
9.	姚藍, 謝小銘. 急性心肌梗死院前溶栓治療的Meta分析[J]. 中華急診醫學雜志, 2010, 19(8): 811-816.
10.	杜宏娟, 孫德國, 趙利華. 老年急性ST段抬高心肌梗死患者靜脈溶栓效果[J]. 中國老年學雜志, 2013, 33(24): 6272-6273.
11.	曲俊橋, 房文芝, 馬金娥, 等. 基層醫院急性心肌梗死不依從溶栓原因分析[J]. 華西醫學, 2010, 25(2): 436.
12.	周秀明, 郭瑩婧, 閆明洲, 等. ST段抬高心肌梗死轉運急診介入治療的療效觀察[J]. 吉林醫學, 2014, 35(7): 1390-1391.
13.	張新梅, 胡允兆, 陳樣新, 等. 急性心肌梗死住院死亡危險因素分析[J]. 廣東醫學, 2013, 34(2): 260-263.
14.	劉勛. 非胸痛的急性心肌梗死48例臨床分析[J]. 華西醫學, 2011, 26(12): 1868-1869.
15.	文秀蘭, 鄒利群, 馬建英. 130例急性心肌梗死患者院前急救時間延誤分析[J]. 華西醫學, 2009, 24(9): 2438-2440.

1. 李文文, 馬麗萍, 秦永文, 等. 急性心肌梗死患者院內死亡及影響因素的回顧性分析[J]. 第二軍醫大學學報, 2013, 34(11): 1187-1193.
2. 張先林, 王岳松, 章萍, 等. 急性心肌梗死患者經橈動脈行急診介入治療的臨床分析[J]. 中華全科醫學, 2013, 11(12): 1875-1876.
3. 王淑華. 急性心肌梗塞在急診室的溶栓救治臨床觀察[J]. 內蒙古醫科大學學報, 2013, 35(S1): 94-95.
4. 高戎, 錢駿, 徐建如. KAMIR評分與GRACE評分預測急性心肌梗死患者一年死亡率的臨床研究[J]. 中國急救醫學, 2013, 33(2): 140-142.
5. 鐘光珍, 那開憲. 全球心肌梗死統一定義指南解讀[J]. 中國臨床醫生, 2009, 37(4): 70-71.
6. 蒲澤晏, 龔國忠, 劉世軍, 等. 心肌標志物檢測在早期診斷急性心肌梗死中的價值[J]. 國際檢驗醫學雜志, 2014, 35(2): 144-145.
7. 文朝. 心肌壞死標志物聯合檢測在急性心肌梗死早期診斷及鑒別中的意義[J]. 中國實驗診斷學, 2013, 17(11): 2013-2015.
8. 李艷, 于海初, 王其新. 急性冠脈綜合征患者NT-proBNP、超敏C反應蛋白及心肌酶學相關研究[J]. 中國循證心血管醫學雜志, 2011, 3(1): 50-52.
9. 姚藍, 謝小銘. 急性心肌梗死院前溶栓治療的Meta分析[J]. 中華急診醫學雜志, 2010, 19(8): 811-816.
10. 杜宏娟, 孫德國, 趙利華. 老年急性ST段抬高心肌梗死患者靜脈溶栓效果[J]. 中國老年學雜志, 2013, 33(24): 6272-6273.
11. 曲俊橋, 房文芝, 馬金娥, 等. 基層醫院急性心肌梗死不依從溶栓原因分析[J]. 華西醫學, 2010, 25(2): 436.
12. 周秀明, 郭瑩婧, 閆明洲, 等. ST段抬高心肌梗死轉運急診介入治療的療效觀察[J]. 吉林醫學, 2014, 35(7): 1390-1391.
13. 張新梅, 胡允兆, 陳樣新, 等. 急性心肌梗死住院死亡危險因素分析[J]. 廣東醫學, 2013, 34(2): 260-263.
14. 劉勛. 非胸痛的急性心肌梗死48例臨床分析[J]. 華西醫學, 2011, 26(12): 1868-1869.
15. 文秀蘭, 鄒利群, 馬建英. 130例急性心肌梗死患者院前急救時間延誤分析[J]. 華西醫學, 2009, 24(9): 2438-2440.

West China Medical Journal

Multivariate Survival Analysis of Early Death Prognosis of Acute Myocardial Infarction

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content