Jánosi András, Ofner Péter, Merkely Béla, Polgár Péter, Zámolyi Károly, Kiss Róbert Gábor, Edes István, Csapó Kálmán, Nagy Lajos, Lupkovics Géza, Herceg Béla, Tomcsányi János, László Zoltán, Vértes András, Simon János, Katona András, Juhász Ferenc, Bajkó Ferenc, Varjú Imre, Dinya Elek
Gottsegen György Országos Kardiológiai Intézet Budapest Haller u. 29. 1125.
Orv Hetil. 2013 Aug 18;154(33):1297-302. doi: 10.1556/OH.2013.29679.
Mortality data of patients with acute myocardial infarction are incomplete in Hungary.
The aim of the authors was to analyse the data of 8582 myocardial infarction patients (4981 with ST-elevation myocardial infarction) registered in the Hungarian Myocardial Infarction Register in order to define the hospital, 30-day, and 1-year mortality. To evaluate the prehospital mortality of myocardial infarction, all myocardial infarction and sudden death were registered in five districts of Budapest.
Multivariate logistic regression was performed to define risk factors of mortality and the model were assessed using c statistics.
The hospital, 30-day and 1-year mortality of patients with ST elevation myocardial infarction were 3.7%, 9.5% and 16.5%, respectively. In patients without ST elevation myocardial infarction these figures were 4%, 9.8% and 21.7%, respectively. The 1-year mortality of patients without ST elevation was higher than those of with ST elevation and the difference was statistically significant. Age, Killip class, diabetes mellitus, history of stroke and myocardial infarction were independent predictors of death. Coronary intervention improved the prognosis of patients with myocardial infarction significantly.
The rate of pre-hospital mortality was considerably high; 72.5% of 30 day mortality occurred before admission to hospital.
匈牙利急性心肌梗死患者的死亡率数据并不完整。
作者旨在分析匈牙利心肌梗死登记处登记的8582例心肌梗死患者（4981例ST段抬高型心肌梗死患者）的数据，以确定医院死亡率、30天死亡率和1年死亡率。为评估心肌梗死的院前死亡率，在布达佩斯的五个区对所有心肌梗死和猝死病例进行了登记。
进行多因素逻辑回归分析以确定死亡危险因素，并使用c统计量评估模型。
ST段抬高型心肌梗死患者的医院死亡率、30天死亡率和1年死亡率分别为3.7%、9.5%和16.5%。非ST段抬高型心肌梗死患者的这些数字分别为4%、9.8%和21.7%。非ST段抬高型心肌梗死患者的1年死亡率高于ST段抬高型心肌梗死患者，差异具有统计学意义。年龄、Killip分级、糖尿病、中风病史和心肌梗死病史是死亡的独立预测因素。冠状动脉介入治疗显著改善了心肌梗死患者的预后。
院前死亡率相当高；30天死亡率的72.5%发生在入院前。
