Long-term prognosis and risk heterogeneity of heart failure complicating acute myocardial infarction.
| Title: | Long-term prognosis and risk heterogeneity of heart failure complicating acute myocardial infarction. |
|---|---|
| Authors: | de Carvalho LP; National University Heart Centre, National University of Singapore, Singapore, Singapore; Albert Einstein Hospital, Sao Paulo, Brazil.; Gao F; National Heart Centre, Singapore, Singapore; Center for Quantitative Medicine, Duke-NUS Graduate Medical School, Singapore, Singapore.; Chen Q; National Heart Centre, Singapore, Singapore.; Sim LL; National Heart Centre, Singapore, Singapore.; Koh TH; National Heart Centre, Singapore, Singapore.; Foo D; Tan Tock Seng Hospital, Singapore, Singapore.; Ong HY; Khoo Teck Puat Hospital, Singapore, Singapore.; Tong KL; Changi General Hospital, Singapore, Singapore.; Tan HC; National University Heart Centre, National University of Singapore, Singapore, Singapore.; Yeo TC; National University Heart Centre, National University of Singapore, Singapore, Singapore.; Chow KY; National Registry of Disease Office, Health Promotion Board, Singapore, Singapore.; Richards AM; National University Heart Centre, National University of Singapore, Singapore, Singapore.; Peterson ED; Duke Clinical Research Institute, Durham, North Carolina.; Chua T; National Heart Centre, Singapore, Singapore.; Chan MY; National University Heart Centre, National University of Singapore, Singapore, Singapore. Electronic address: mark_chan@nuhs.edu.sg. |
| Source: | The American journal of cardiology [Am J Cardiol] 2015 Apr 01; Vol. 115 (7), pp. 872-8. Date of Electronic Publication: 2015 Jan 15. |
| Publication Type: | Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't |
| Language: | English |
| Journal Info: | Publisher: Excerpta Medica Country of Publication: United States NLM ID: 0207277 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-1913 (Electronic) Linking ISSN: 00029149 NLM ISO Abbreviation: Am J Cardiol Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: New York, NY : Excerpta Medica |
| MeSH Terms: | Heart Failure/*epidemiology ; Myocardial Infarction/*complications ; Risk Assessment/*methods; Heart Failure/etiology ; Hospital Mortality/trends ; Myocardial Infarction/diagnosis ; Myocardial Infarction/epidemiology ; Singapore/epidemiology ; Survival Rate/trends ; Aged ; Cause of Death ; Electrocardiography ; Female ; Follow-Up Studies ; Humans ; Incidence ; Male ; Middle Aged ; Prognosis ; Retrospective Studies ; Time Factors |
| Abstract: | The Killip classification of acute heart failure was developed decades ago to predict short-term mortality in patients with acute myocardial infarction (AMI). The aim of this study was to determine the long-term prognosis of acute heart failure graded according to the Killip classification in 15,235 unselected patients hospitalized for AMI from 2000 to 2005. Vital status for each patient was ascertained, through to March 1, 2012, from linkage with national death records. A stepwise gradient in the adjusted hazard ratio (HR) for 12-year mortality was observed with increasing Killip class: class I (n = 10,123), HR 1.00 (reference group); class II (n = 2,913), HR 1.13 (95% confidence interval [CI] 1.06 to 1.21); class III (n = 1,217) HR 1.49 (95% CI 1.37 to 1.62); and class IV (n = 898), HR 2.80 (95% CI 2.53 to 3.10). Unexpectedly, in a landmark analysis excluding deaths |
| Entry Date(s): | Date Created: 20150216 Date Completed: 20150519 Latest Revision: 20150317 |
| Update Code: | 20260130 |
| DOI: | 10.1016/j.amjcard.2015.01.010 |
| PMID: | 25682439 |
| Database: | MEDLINE |
Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't