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- Title
Prognostic Impact of Non-Cardiac Comorbidities on Long-Term Prognosis in Patients with Reduced and Preserved Ejection Fraction following Acute Myocardial Infarction.
- Authors
Savic, Lidija; Mrdovic, Igor; Asanin, Milika; Stankovic, Sanja; Lasica, Ratko; Matic, Dragan; Simic, Damjan; Krljanac, Gordana
- Abstract
Background: We aimed to analyze the prevalence and long-term prognostic impact of non-cardiac comorbidities in patients with reduced and preserved left-ventricular ejection fraction (EF) following ST-elevation myocardial infarction (STEMI). Method: A total of 3033 STEMI patients undergoing primary percutaneous coronary intervention (pPCI) were divided in two groups: reduced EF < 50% and preserved EF ≥ 50%. The follow-up period was 8 years. Results: Preserved EF was present in 1726 (55.4%) patients and reduced EF was present in 1389 (44.5%) patients. Non-cardiac comorbidities were more frequent in patients with reduced EF compared with patients with preserved EF (38.9% vs. 27.4%, respectively, p < 0.001). Lethal outcome was registered in 240 (17.2%) patients with reduced EF and in 40 (2.3%) patients with preserved EF, p < 0.001. Diabetes and chronic kidney disease (CKD) were independent predictors for 8-year mortality in patients with preserved EF. In patients with reduced EF, CKD was independently associated with 8-year mortality. Conclusion: In patients who had reduced EF, the prevalence of non-cardiac comorbidities was higher than in patients who had preserved EF after STEMI. Only diabetes mellitus and CKD were independently associated with 8-year mortality in analyzed patients.
- Subjects
MYOCARDIAL infarction; VENTRICULAR ejection fraction; ST elevation myocardial infarction; PERCUTANEOUS coronary intervention; CHRONIC kidney failure; PROGNOSIS
- Publication
Journal of Personalized Medicine, 2023, Vol 13, Issue 7, p1110
- ISSN
2075-4426
- Publication type
Article
- DOI
10.3390/jpm13071110