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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1982-12-3
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pubmed:abstractText |
We studied the in-hospital prognosis of 1105 patients who had their first transmural myocardial infarction; 611 patients (55.3%) had anterior myocardial infarction (AMI) and 494 (44.7%) had inferior myocardial infarction (IMI). Patients with IMI had a significantly lower in-hospital mortality rate (9.1% vs 15.6%, p = 0.0014) and significantly lower prevalences of congestive heart failure (39.4% vs 47.6%, p = 0.0066), cardiogenic shock ( 8.7% vs 12.6%, p = 0.0384) and conduction defects (left anterior hemiblock, right bundle branch block and intraventricular conduction defect). The patients with AMI had significantly higher peak enzyme levels, and a greater percentage of them (40.1% vs 25.9%) had SGOT greater than 240 IU/l, whereas more patients with IMI (34.6% vs 27.8%) had SGOT less than 120 IU/l (p = 0.0001). When the parallel subgroups were compared according to the peak SGOT levels (less than 120, 120-240, and greater than 240 IU/l, the differences in the mortality and morbidity between the two infarct locations diminished. However, patients with AMI still had a less favorable outcome. Logistic regression analysis demonstrated that both the peak enzyme level and the infarct location had an independent influence on the in-hospital prognosis of patients with first transmural infarction.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
0009-7322
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
66
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
742-7
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:7116591-Aged,
pubmed-meshheading:7116591-Aspartate Aminotransferases,
pubmed-meshheading:7116591-Diabetes Complications,
pubmed-meshheading:7116591-Electrocardiography,
pubmed-meshheading:7116591-Female,
pubmed-meshheading:7116591-Heart Failure,
pubmed-meshheading:7116591-Humans,
pubmed-meshheading:7116591-Hypertension,
pubmed-meshheading:7116591-L-Lactate Dehydrogenase,
pubmed-meshheading:7116591-Male,
pubmed-meshheading:7116591-Middle Aged,
pubmed-meshheading:7116591-Myocardial Infarction,
pubmed-meshheading:7116591-Prognosis,
pubmed-meshheading:7116591-Shock, Cardiogenic
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pubmed:year |
1982
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pubmed:articleTitle |
Effect of infarct location on the in-hospital prognosis of patients with first transmural myocardial infarction.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.
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