AGE-RELATED PROGNOSIS AFTER ACUTE MYOCARDIAL-INFARCTION (THE MULTICENTER DILTIAZEM POSTINFARCTION TRIAL)

被引:54
作者
MARCUS, FI [1 ]
FRIDAY, K [1 ]
MCCANS, J [1 ]
MOON, T [1 ]
HAHN, E [1 ]
COBB, L [1 ]
EDWARDS, J [1 ]
KULLER, L [1 ]
机构
[1] UNIV ARIZONA,COLL MED,DEPT MED,CARDIOL SECT,TUCSON,AZ 85721
关键词
D O I
10.1016/0002-9149(90)91031-Z
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The basis for the excess mortality with age after acute myocardial infarction (AMI) is not clear, nor is it known whether the mode of death is altered with age. Age-related factors predictive of mortality and age-related mechanisms of the 333 deaths were examined in 2,466 patients who were enrolled in a placebo-controlled trial to determine the effect of diltiazem on mortality and reinfarction after AMI. There were 3 age groups with increasing mortality rates: ages 25 to 49 (n = 499), 50 to 64 (n = 1,228) and 65 to 75 years (n = 739). There was a significant age-related increase in the proportion of patients with baseline risk factors. These baseline characteristics did not differ by treatment (placebo vs diltiazem). However, multi-variate survivorship analysis still identified age as an independent risk factor for cardiac death. The proportion of arrhythmic and myocardial failure deaths did not differ by treatment or age group. © 1990.
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页码:559 / 566
页数:8
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