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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
9
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pubmed:dateCreated |
1998-12-9
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pubmed:abstractText |
The initial phase of the epidemiological USIK study has recensed data concerning 2,563 patients admitted to hospital for acute myocardial infarction. The second phase of this study has documented the 1 year survival of 2,152 patients (84%). The population comprised 1,533 men and 619 women with a mean age of 67 years. Severe left ventricular dysfunction (LVEF < 35%) was observed in 18% of patients and clinical signs of cardiac failure were present in 35% of patients in the first 5 days of infarction. The mortality was 8.2% at 5 days, 13.2% at 28 days and 19.5% at one year. In multivariate analysis, the principal predictive factor of mortality at 1 year was age (RR = 1.06, p = 0.0001): the mortality increased by 6% per year of age. In survivors 5 days after the onset of infarction, the 1 year prognosis was significantly correlated with age (RR = 1.05, p = 0.0001) and with cardiac failure (LVEF: RR = 1.57, p = 0.0001) and Killip class (RR = 1.66, p = 0.0001). The prescription of an ACE inhibitor or a betablocker in the first 5 days of infarction was associated with a reduction in 1 year mortality of 27% (p = 0.04) and 37% (p = 0.01) respectively. In conclusion, this study has determined the features of patients admitted to the Intensive Care Unit for acute myocardial infarction in France and to identify the factors influencing 1 year survival.
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pubmed:language |
fre
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0003-9683
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
91
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1103-10
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pubmed:dateRevised |
2009-2-13
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pubmed:meshHeading |
pubmed-meshheading:9805568-Age Factors,
pubmed-meshheading:9805568-Aged,
pubmed-meshheading:9805568-Female,
pubmed-meshheading:9805568-France,
pubmed-meshheading:9805568-Humans,
pubmed-meshheading:9805568-Male,
pubmed-meshheading:9805568-Middle Aged,
pubmed-meshheading:9805568-Myocardial Infarction,
pubmed-meshheading:9805568-Prognosis,
pubmed-meshheading:9805568-Retrospective Studies,
pubmed-meshheading:9805568-Survival Analysis
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pubmed:year |
1998
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pubmed:articleTitle |
[Epidemiology of myocardial infarction in France. One-year survival in the Usik study].
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pubmed:affiliation |
Faculté de médecine Toulouse-Purpan, département d'épidémiologie, CJF INSERM 9406, Toulouse.
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pubmed:publicationType |
Journal Article,
English Abstract
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