Karlson B W, Emanuelsson H, Herlitz J
Division of Cardiology, Sahlgrenska Hospital, Göteborg, Sweden.
Cardiology. 1994;84(2):126-34. doi: 10.1159/000176531.
Symptoms of acute severe congestive heart failure always raise the suspicion of acute myocardial infarction (AMI). Our aim was to describe the characteristics and the prognosis among patients with acute severe congestive heart failure in relation to whether or not it was caused by AMI. Consecutive patients admitted to one single hospital during 21 months due to suspected AMI, who either had initial symptoms of acute severe congestive heart failure or developed such symptoms during the subsequent days, were prospectively followed for 1 year in terms of mortality and morbidity. Of 531 patients who fulfilled previously defined criteria for severe congestive heart failure, 40% developed AMI during the first 3 days in hospital. At baseline, these patients differed from the others, having a less frequent history of known congestive heart failure. Mortality during 1 year of follow-up was 47% among patients who developed AMI versus 38% among those who did not (p < 0.05). In addition to age and a history of diabetes, development of AMI was independently associated with death.
急性重症充血性心力衰竭的症状总是会让人怀疑急性心肌梗死（AMI）。我们的目的是描述急性重症充血性心力衰竭患者的特征及其预后情况，并探讨其是否由AMI引起。在21个月期间，因疑似AMI而入住同一家医院的连续患者，若其最初出现急性重症充血性心力衰竭症状或在随后几天内出现此类症状，则对其死亡率和发病率进行为期1年的前瞻性随访。在531例符合先前定义的重症充血性心力衰竭标准的患者中，40%在住院的前3天内发生了AMI。在基线时，这些患者与其他患者不同，已知充血性心力衰竭病史的发生率较低。在随访的1年中，发生AMI的患者死亡率为47%，未发生AMI的患者死亡率为38%（p<0.05）。除年龄和糖尿病史外，AMI的发生与死亡独立相关。
