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Pascual I, Hernandez-Vaquero D, Almendarez M, Lorca R, Escalera A, Díaz R, Alperi A, Carnero M, Silva J, Morís C, Avanzas P. Observed and Expected Survival in Men and Women After Suffering a STEMI. J Clin Med 2020; 9:E1174. [PMID: 32325887 PMCID: PMC7230566 DOI: 10.3390/jcm9041174] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2020] [Revised: 04/16/2020] [Accepted: 04/17/2020] [Indexed: 11/16/2022] Open
Abstract
INTRODUCTION Mortality caused by ST elevation myocardial infarction (STEMI) has declined because of greater use of primary percutaneous coronary intervention (PCI). It is unknown if patients >75 have similar survival as peers. We aim to know it stratifying by sex and assessing how the sex may impact the survival. METHODS We retrospectively selected all patients >75 who suffered a STEMI treated with primary PCI at our institution. We compared their survival with that of the reference population (general population matched by age, sex, and geographical region). A Cox-regression analysis controlling for clinical factors was performed to know if sex was a risk factor. RESULTS Total of 450 patients were studied. Survival at 1, 3, and 5 years of follow-up for patients who survived the first 30 days was 91.22% (CI95% 87.80-93.72), 79.71% (CI95% 74.58-83.92), and 68.02% (CI95% 60.66-74.3), whereas in the reference population it was 93.11%, 79.10%, and 65.01%, respectively. Sex was not a risk factor, Hazard Ratio = 1.02 (CI95% 0.67-1.53; p = 0.92). CONCLUSIONS Life expectancy of patients suffering a STEMI is nowadays intimately linked to survival in the first 30 days. After one year, the risk of death for both men and women seems similar to that of the general population.
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Affiliation(s)
- Isaac Pascual
- Department of Cardiology, Central University Hospital of Asturias, 33011 Oviedo, Spain; (I.P.); (M.A.); (R.L.); (A.A.); (C.M.); (P.A.)
- Research Institute of the Principado de Asturias, 33011 Oviedo, Spain;
- Department of Functional Biology, Physiology Area, Faculty of Medicine, University of Oviedo, 33006 Oviedo, Spain
| | - Daniel Hernandez-Vaquero
- Research Institute of the Principado de Asturias, 33011 Oviedo, Spain;
- Department of Functional Biology, Physiology Area, Faculty of Medicine, University of Oviedo, 33006 Oviedo, Spain
- Cardiac Surgery Department, Central University Hospital of Asturias, 33011 Oviedo, Spain; (A.E.); (J.S.)
| | - Marcel Almendarez
- Department of Cardiology, Central University Hospital of Asturias, 33011 Oviedo, Spain; (I.P.); (M.A.); (R.L.); (A.A.); (C.M.); (P.A.)
| | - Rebeca Lorca
- Department of Cardiology, Central University Hospital of Asturias, 33011 Oviedo, Spain; (I.P.); (M.A.); (R.L.); (A.A.); (C.M.); (P.A.)
- Research Institute of the Principado de Asturias, 33011 Oviedo, Spain;
| | - Alain Escalera
- Cardiac Surgery Department, Central University Hospital of Asturias, 33011 Oviedo, Spain; (A.E.); (J.S.)
| | - Rocío Díaz
- Research Institute of the Principado de Asturias, 33011 Oviedo, Spain;
- Cardiac Surgery Department, Central University Hospital of Asturias, 33011 Oviedo, Spain; (A.E.); (J.S.)
| | - Alberto Alperi
- Department of Cardiology, Central University Hospital of Asturias, 33011 Oviedo, Spain; (I.P.); (M.A.); (R.L.); (A.A.); (C.M.); (P.A.)
| | - Manuel Carnero
- Cardiac Surgery Department, San Carlos Clinic Hospital, 28040 Madrid, Spain;
| | - Jacobo Silva
- Cardiac Surgery Department, Central University Hospital of Asturias, 33011 Oviedo, Spain; (A.E.); (J.S.)
- Department of Surgery, Faculty of Medicine, University of Oviedo, 33006 Oviedo, Spain
| | - Cesar Morís
- Department of Cardiology, Central University Hospital of Asturias, 33011 Oviedo, Spain; (I.P.); (M.A.); (R.L.); (A.A.); (C.M.); (P.A.)
- Research Institute of the Principado de Asturias, 33011 Oviedo, Spain;
- Department of Medicine, Faculty of Medicine, University of Oviedo, 33006 Oviedo, Spain
| | - Pablo Avanzas
- Department of Cardiology, Central University Hospital of Asturias, 33011 Oviedo, Spain; (I.P.); (M.A.); (R.L.); (A.A.); (C.M.); (P.A.)
- Research Institute of the Principado de Asturias, 33011 Oviedo, Spain;
- Department of Medicine, Faculty of Medicine, University of Oviedo, 33006 Oviedo, Spain
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