Please use this identifier to cite or link to this item:https://hdl.handle.net/20.500.12259/47569
Type of publication: Straipsnis Clarivate Analytics Web of Science ar/ir Scopus / Article in Clarivate Analytics Web of Science or / and Scopus (S1)
Field of Science: Medicina / Medicine (M001)
Author(s): Žaliūnas, Remigijus;Babarskienė, Marija Rūta;Lukšienė, Dalia;Šlapikienė, Birutė;Venclovienė, Jonė;Milvidaitė, Irena;Šlapikas, Rimvydas
Title: The risk of cardiovascular death following the first acute ischaemic syndrome: experience in Kaunas between 1997 and 2001
Is part of: Acta cardiologica. Leuven : Peeters, 2007, vol. 62, no. 4
Extent: p. 329-337
Date: 2007
Keywords: Acute coronary syndrome;mortality;Myocardial infarction;mortality
Abstract: The aim of our study was twofold: initially to investigate the effects of the informative value of the variables of the acute period on the risk of cardiovascular death during the long-term period following the first acute coronary syndrome, and then to determine the long-term survival rate in different risk groups. Methods — The prospective five-year observational study included 732 patients with acute coronary syndrome who had survived the hospital period. Employing multivariable Cox’s proportional-hazard analysis, the most informative variables were selected, the risk score index was calculated, the risk groups for the prediction of cardiovascular death were identified, long-term survival (4.5 ± 2.1 years) in different risk groups was determined and internal validation of the model was performed. Results — During the observational period, 84 patients (11.5%) died due to cardiovascular causes. Cox proportional-hazard models demonstrated that six variables had significant influence on longterm survival during the five-year period after an acute coronary syndrome. These variables were: age [1-5 points], the presence of pathologic Q wave in > 2 ECG leads [2 points], Killip class II-IV [2-4 points], left ventricular ejection fraction 10 points - 23.3%]. The probability of survival within the period of five years was found to be favourable for the majority of patients in the low- and medium-risk groups, while the number of such patients in the high-risk group was significantly lower [97.0% vs. 89.0% vs. 73.0%, P < 0.0000]. The difference in the survival probability was negligible in developmental and validation sets [...]
Internet: https://poj.peeters-leuven.be/content.php?url=article&id=2022275&journal_code=AC
Affiliation(s): Kauno medicinos universitetas
Kauno medicinos universiteto Kardiologijos institutas
Appears in Collections:Universiteto mokslo publikacijos / University Research Publications

Files in This Item:
marc.xml15.35 kBXMLView/Open

MARC21 XML metadata

Show full item record

Page view(s)

152
checked on Feb 10, 2020

Download(s)

12
checked on Feb 10, 2020

Google ScholarTM

Check

Altmetric


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.