Heart failure during first inferior acute myocardial infarction

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dc.authoridAltun, Armagan/0000-0002-3233-8263
dc.authoridOzkan, Birol/0000-0002-4293-2370
dc.authorwosidAltun, Armagan/ABB-5844-2020
dc.contributor.authorAltun, A
dc.contributor.authorÖzçelik, F
dc.contributor.authorÖzkan, B
dc.contributor.authorÖzbay, G
dc.date.accessioned2024-06-12T10:50:33Z
dc.date.available2024-06-12T10:50:33Z
dc.date.issued1999
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground Inferior acute myocardial infarctions (AMI) have better in-hospital prognosis than do anterior AMI. Authors of several studies reported that patients with inferior AMI complicated by atrioventricular block, concomitant precordial ST-segment depression and involvement of right ventricle have larger infarctions and a worse prognoses than do patients without these features. Objective To analyse the incidence, clinical course and in-hospital prognosis of patients with heart failure and first inferior AMI. Methods We analysed in 257 consecutive patients with first inferior AMI who had been admitted to the coronary care unit during January 1991 and March 1995. The clinical and electrocardiographic characteristics, as well as the morbidities and in-hospital mortalities, of groups of patients with and without heart failure during inferior AMI were compared. Results Symptoms and signs of heart failure were noted for 49 patients (19%). We found that patients who had suffered heart failure during inferior AMI were older (61.1 +/- 9.86 versus 58.78 +/- 1 0.58 years, P<0.05) than those who had not suffered heart failure. There was no significant difference between patients' sex, history of diabetes mellitus, hypertension, smoking status, thrombolytic therapy, involvement of right ventricle and QRS score for these two groups. We found a greater prevalence of ST-segment depression (ST-segment depression greater than or equal to 1 mV in more than one precordial lead with maximal ST-segment depression in leads V4-V6) of V4-V6 precordial leads (57 versus 26%, P=0.00002) and a lesser prevalence of no ST-segment depression (ST-segment depression <0.1 mV in each precordial lead; 14 versus 38%, P=0.001) among patients who had suffered heart failure. We found greater incidences of serious ventricular arrhythmias (53 versus 26, P=0.0002) and ventricular tachycardia-fibrillation (16 versus 7%, P=0.03) among patients who had suffered heart failure than we did among those who had not. Third-degree atrioventricular block was more often found in patients who had suffered heart failure (23 versus 12%, P=0.07) but this difference was not statistically significant. We found that the in-hospital mortality among patients who had suffered heart failure was much higher than that among those who had not (24.5 versus 3.8%, P=0.000001). Conclusion We found that heart failure occurs primarily in old patients, and in those with precordial ST-segment depression, especially in leads V4-V6. The patients who suffer heart failure have worse in-hospital prognosis due to serious ventricular arrhythmias and cardiogenic shock. Coronary Artery Dis 10:455-458 (C) 1999 Lippincott Williams & Wilkins.en_US
dc.identifier.doi10.1097/00019501-199910000-00004
dc.identifier.endpage458en_US
dc.identifier.issn0954-6928
dc.identifier.issue7en_US
dc.identifier.pmid10562912en_US
dc.identifier.scopus2-s2.0-0033452446en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage455en_US
dc.identifier.urihttps://doi.org/10.1097/00019501-199910000-00004
dc.identifier.urihttps://hdl.handle.net/20.500.14551/18047
dc.identifier.volume10en_US
dc.identifier.wosWOS:000083128500004en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofCoronary Artery Diseaseen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAcute Inferior Myocardial Infarctionen_US
dc.subjectHeart Failureen_US
dc.subjectIn-Hospital Prognosisen_US
dc.subjectSt-Segment Depressionen_US
dc.subjectComplete Atrioventricular-Blocken_US
dc.subjectRight-Ventricular Involvementen_US
dc.subjectPrognostic-Significanceen_US
dc.subjectReperfusion Therapyen_US
dc.subjectTermen_US
dc.subjectSystemen_US
dc.subjectLeadsen_US
dc.titleHeart failure during first inferior acute myocardial infarctionen_US
dc.typeArticleen_US

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