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Article10.1161/circ.124.suppl_21.a17546

Abstract 17546: No Decrease in the Incidence of Heart Failure Following Acute Myocardial Infarction in the Years 1994-2006

William J. Kostis,Yingzi Deng,Abel E. Moreyra,John Pantazopoulos,John B. Kostis,For the Myocardial Infarction Data Acquisition System (MIDAS) Study Group-2011-11-22-Circulation
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TL;DRAbstract

Objectives: Heart failure (HF) is a common serious complication following acute myocardial infarction (MI). We studied whether improvements in MI treatment had an impact on the incidence of post-MI HF. Methods: We used data from the Myocardial Infarction Data Acquisition System (MIDAS) database, selecting all first myocardial infarctions admitted to non-federal hospitals in the state of New Jersey between 1994 and 2006. We studied the incidence of HF during admission, within 28 days of admission, and 28 days to one year from admission. Using a multivariate model, we assessed which clinical characteristics had an impact on the incidence of HF. Results: A total of 185,483 patients were admitted with a first MI. The incidence of HF within one year was 38.2% in 1994 and remained stable through 2006 (range 37.6% - 41.0%). The incidence of HF in patients with subendocardial MI was also stable and significantly higher than that observed in transmural MI (43.7% vs. 30.9%, p<0.0001). However

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Objectives: Heart failure (HF) is a common serious complication following acute myocardial infarction (MI). We studied whether improvements in MI treatment had an impact on the incidence of post-MI HF. Methods: We used data from the Myocardial Infarction Data Acquisition System (MIDAS) database, selecting all first myocardial infarctions admitted to non-federal hospitals in the state of New Jersey between 1994 and 2006. We studied the incidence of HF during admission, within 28 days of admission, and 28 days to one year from admission. Using a multivariate model, we assessed which clinical characteristics had an impact on the incidence of HF. Results: A total of 185,483 patients were admitted with a first MI. The incidence of HF within one year was 38.2% in 1994 and remained stable through 2006 (range 37.6% - 41.0%). The incidence of HF in patients with subendocardial MI was also stable and significantly higher than that observed in transmural MI (43.7% vs. 30.9%, p<0.0001). However

Keywords

MedicineMyocardial infarctionHeart failureCardiologyInternal medicineIncidence (geometry)

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