Herlitz J, Karlson B W, Bång A, Sjölin M
Division of Cardiology, Sahlgrenska, University Hospital, Göteborg, Sweden.
Cardiology. 1996 Nov-Dec;87(6):529-36. doi: 10.1159/000177150.
We describe the prognosis during 5 years of follow-up among consecutive patients hospitalized in a single hospital due to acute myocardial infarction in various age groups. When considering various aspects of clinical history, age was the strongest independent predictor of total 5-year mortality and of 5-year mortality after discharge from hospital. The overall 5-year mortality was: age < 65, 23%; age 65-75, 49%; age > 75, 79% (p < 0.001). The relationship between age and death appeared to be similar regardless of the development of Q waves, infarct size and infarct site. Among patients who died, younger patients more frequently died a sudden death associated with ventricular fibrillation, whereas the elderly more frequently died in association with congestive heart failure.
我们描述了因急性心肌梗死在一家医院住院的各年龄组连续患者5年随访期间的预后情况。在考虑临床病史的各个方面时，年龄是5年总死亡率及出院后5年死亡率最强的独立预测因素。5年总死亡率为：年龄＜65岁，23%；年龄65 - 75岁，49%；年龄＞75岁，79%（p＜0.001）。无论Q波的形成、梗死面积和梗死部位如何，年龄与死亡之间的关系似乎相似。在死亡患者中，年轻患者更常死于与心室颤动相关的猝死，而老年患者更常死于充血性心力衰竭。
