NATIONAL PIROGOV MEMORIAL MEDICAL UNIVERSITY, VINNYTSIA, UKRAINE.
Wiad Lek. 2022;75(7):1741-1746. doi: 10.36740/WLek202207124.
The aim: The study was designed to establish the prevalence of acute heart failure in patients with acute myocardial infarction, to determine the sex-age characteristics of acute myocardial infarction course in case of complications by acute heart failure of high classes (Killip III and Killip IV).
Materials and methods: We analyzed medical records of inpatients of the myocardial infarction department of the municipal non-profit enterprise Vinnytsia Regional Center for Cardiovascular Pathology in 2019. The survey covered 828 medical records of patients with acute myocardial infarction, average age (64.6 ± 0.38), including 569 (64.7%) males and 311 (35.3%) females.
Results: 129 (15.6%) patients with acute myocardial infarction were diagnosed high-class acute heart failure. Patients with high-class acute heart failure were statistically significantly elderly individuals of the average age (69.0 ± 1.3), (p <0.001), including 53.7% of males, and 46.3% (p <0.001) female patients. Patients with acute myocardial infarction complicated by acute heart failure were hospitalized within 2 hours of symptoms onset with statistically significantly higher probability (p = 0.004). Patients with acute myocardial infarction complicated by acute high-class heart failure were statistically significantly more likely diagnosed with concomitant hypertension, diabetes mellitus, chronic obstructive pulmonary disease, chronic kidney disease than individuals with uncomplicated acute myocardial infarction. Acute myocardial infarction patients mortality was 3.4%, while the one in patients with acute heart failure was 38% (p <0.001).
Conclusions: Patients with complicated myocardial infarction are characterized by statistically significantly higher comorbidity and increased lethality.
本研究旨在确定急性心肌梗死患者中急性心力衰竭的患病率，并确定高等级（Killip III 和 Killip IV）急性心力衰竭并发症的急性心肌梗死病程的性别-年龄特征。
我们分析了 2019 年市非营利企业文尼察地区心血管病理学心肌梗死科住院患者的病历。该调查涵盖了 828 例急性心肌梗死患者的病历，平均年龄（64.6±0.38），其中 569 例（64.7%）为男性，311 例（35.3%）为女性。
129 例（15.6%）急性心肌梗死患者被诊断为高等级急性心力衰竭。高等级急性心力衰竭患者的年龄明显较大，平均年龄（69.0±1.3）（p<0.001），其中 53.7%为男性，46.3%为女性（p<0.001）。患有急性心肌梗死并发急性心力衰竭的患者在症状发作后 2 小时内住院的概率明显更高（p=0.004）。与未合并急性心肌梗死的患者相比，患有急性心肌梗死并发急性高等级心力衰竭的患者更有可能被诊断为同时患有高血压、糖尿病、慢性阻塞性肺疾病、慢性肾脏病。急性心肌梗死患者的死亡率为 3.4%，而急性心力衰竭患者的死亡率为 38%（p<0.001）。
合并心肌梗死的患者具有更高的合并症发生率和更高的死亡率。
