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Clinical Effects of Hypertension on the Mortality of Patients with Acute Myocardial Infarction

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Affiliated Author(s)
허승호
Alternative Author(s)
Hur, Seung Ho
Journal Title
Journal of Korean Medical Science
ISSN
1011-8934
Issued Date
2009
Keyword
HypertensionMyocardial infarctionMortality
Abstract
The incidence of ischemic heart disease has been increased rapidly in Korea. However,
the clinical effects of antecedent hypertension on acute myocardial infarction
have not been identified. We assessed the relationship between antecedent hypertension
and clinical outcomes in 7,784 patients with acute myocardial infarction in
the Korea Acute Myocardial Infarction Registry during one-year follow-up. Diabetes
mellitus, hyperlipidemia, cerebrovascular disease, heart failure, and peripheral artery
disease were more prevalent in hypertensives (n=3,775) than nonhypertensives
(n=4,009). During hospitalization, hypertensive patients suffered from acute renal
failure, shock, and cerebrovascular event more frequently than in nonhypertensives.
During follow-up of one-year, the incidence of major adverse cardiac events was
higher in hypertensives. In multi-variate adjustment, old age, Killip class ≥III, left
ventricular ejection fraction <45%, systolic blood pressure <90 mmHg on admission,
post procedural TIMI flow grade ≤2, female sex, and history of hypertension were
independent predictors for in-hospital mortality. However antecedent hypertension
was not significantly associated with one-year mortality. Hypertension at the time
of acute myocardial infarction is associated with an increased rate of in-hospital mortality.
Department
Dept. of Internal Medicine (내과학)
Publisher
School of Medicine
Citation
Dong Goo Kang et al. (2009). Clinical Effects of Hypertension on the Mortality of Patients with Acute Myocardial Infarction. Journal of Korean Medical Science, 24(5), 800–806. doi: 10.3346/jkms.2009.24.5.800
Type
Article
ISSN
1011-8934
DOI
10.3346/jkms.2009.24.5.800
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34098
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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