Prognostic factors of ۲۸ days survival rate in patients with a first acute myocardial ‎infarction based on gender in Isfahan, Iran (۲۰۰۰-۲۰۰۹)‎

BACKGROUND: Determinant prognostic factors of ۲۸ days survival rate in patients with a first acute myocardial infarction (AMI) based on gender in teen year’s period in Isfahan, Iran, was the aim of this study. METHODS: This study is a prospective hospital-based study that consisted, all patients with AMI admitted to all hospitals (private and universal hospitals) in Isfahan and Najafabad (Iran) during ۲۰۰۰-۲۰۰۹. To determinant the prognostic factors of ۲۸ days survival rate in patients based on gender, analysis conducted separately for male and female. In analysis, we use of t-test, log Rank tests, Kaplan-Meier method, and univariate and multivariate Cox regression model. FINDINGS: Short-term (۲۸ days) survival rate was ۹۲.۵% in male and ۸۶.۷% in female (P < ۰.۰۰۱). The adjusted hazard ratio (HR) of death for age group ۸۰ years and older was ۱۲.۷ [۹۵% confidence interval (CI): ۵.۱۴-۳۱.۳] in male and ۸.۷۸ (۹۵% CI: ۱.۲-۶۳.۱) in female. HR for acute transmural MI of the unspecified site in male was ۸.۹ (۹۵% CI: ۴.۶۸-۱۶.۹۷) and in female ۹.۳۳ (۹۵% CI: ۴.۴۲-۱۹.۷). HR for receive of streptokinase in male was ۱.۱۱ (۹۵% CI: ۰.۹۴-۱.۳۱) and in female was ۰.۶۹ (۹۵% CI: ۰.۵۶-۰.۸۴). CONCLUSION: Short-term survival rate in male was a higher than female. In male age, anatomic location of MI and hospital status and in female streptokinase use and anatomic location of MI was the most important prognostic factors of survival in-patient with AMI in Isfahan.

Keywords:

Myocardial Infarction , Survival Rate , Gender , Isfahan (Iran)‎