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伊朗急性心肌梗死危险因素的20年流行趋势、治疗模式、并发症及死亡率

Twenty-year route of prevalence of risk factors, treatment patterns, complications, and mortality rate of acute myocardial infarction in Iran.

作者信息

Ghaffari Samad, Hakim Hadi, Pourafkari Leili, Asl Elnaz Sagheb, Goldust Mohamad

机构信息

Department of Cardiology, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

Ther Adv Cardiovasc Dis. 2013 Jun;7(3):117-22. doi: 10.1177/1753944712474093. Epub 2013 May 1.

DOI:10.1177/1753944712474093
PMID:23637278
Abstract

OBJECTIVES

Coronary artery diseases are regarded as the main cause of mortality in most countries. The present study aims at evaluating variations and studying its complications in Iranian patients within past 20 years.

METHODS

This cross-sectional analytical-descriptive study retrospectively evaluated the files of 600 patients with acute myocardial infarction during a 20-year period. Basic data and laboratory information, chemotherapies and intervention treatments of patients were registered in special forms and compared regarding the mentioned time intervals.

RESULTS

There were 440 (73.3%) male and 160 (26.7%) female patients and mean age of the patients was 60.03 ± 11.61 years. Mean duration of hospitalization (p < 0.001) and prevalence of smoking (p < 0.001) had significantly decreased in the past two decades. There was no meaningful difference when considering mortality rate (p = 0.533) and cardiac insufficiency (p = 0.403).

CONCLUSION

The results indicate prominent improvement in the management process of patients suffering from acute myocardial infarction within the past 20 years.

摘要

目的

在大多数国家,冠状动脉疾病被视为主要死因。本研究旨在评估伊朗患者在过去20年中的变化情况并研究其并发症。

方法

这项横断面分析描述性研究回顾性评估了20年间600例急性心肌梗死患者的病历。患者的基本数据、实验室信息、化疗及干预治疗情况以特定表格记录,并就上述时间间隔进行比较。

结果

有440名(73.3%)男性和160名(26.7%)女性患者,患者平均年龄为60.03±11.61岁。在过去二十年中,平均住院时间(p<0.001)和吸烟率(p<0.001)显著下降。在考虑死亡率(p=0.533)和心功能不全(p=0.403)时,没有显著差异。

结论

结果表明,在过去20年中,急性心肌梗死患者的管理过程有显著改善。

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