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The Journal of Tehran University Heart Center، جلد ۱۶، شماره ۲، صفحات ۶۸-۷۴
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عنوان انگلیسی Short and Long-term Survival Rates following Myocardial Infarction and its Predictive Factors: A Study Using National Registry Data
چکیده انگلیسی مقاله Background: Coronary artery disease is the most common cause of death worldwide as well as in Iran. The present study was designed to predict short and long-term survival rates after the first episode of myocardial infarction (MI). Methods: The current research is a retrospective cohort study. The data were collected from the Myocardial Infarction Registry of Iran in a 12-month period leading to March 20, 2014. The variables analyzed included smoking status, past medical history of chronic heart disease, hypertension, diabetes, hyperlipidemia, signs and symptoms during an attack, post-MI complications during hospitalization, the occurrence of arrhythmias, the location of MI, and the place of residence. Survival rates and predictive factors were estimated by the Kaplan–Meier method, the log-rank test, and the Cox model. Results: Totally, 21 181 patients with the first MI were studied. There were 15 328 men (72.4%), and the mean age of the study population was 62.10±13.42 years. During a 1-year period following MI, 2479 patients (11.7%) died. Overall, the survival rates at 28 days, 6 months, and 1 year were estimated to be 0.95 (95% CI: 0.95 to 0.96), 0.90 (95% CI: 0.90 to 0.91), and 0.88 (95% CI: 0.88 to 0.89). After the confounding factors were controlled, history of chronic heart disease (p< 0.001), hypertension (p< 0.001), and diabetes (p< 0.001) had a significant relationship with an increased risk of death and history of hyperlipidemia (p< 0.001) and inferior wall MI (p< 0.001) had a significant relationship with a decreased risk of death. Conclusion: The results of this study provide evidence for health policy-makers and physicians on the link between MI and its predictive factors.
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نویسندگان مقاله | Samaneh Mozaffarian
School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.


| Korosh Etemad
Environmental and Occupational Hazard Control Research Center, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.


| Mohammad Aghaali
School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.


| Soheila Khodakarim
School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.


| Sahar Sotoodeh Ghorbani
School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.


| Seyed Saeed Hashemi Nazari
Prevention of Cardiovascular Disease Research Center, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
نشانی اینترنتی https://jthc.tums.ac.ir/index.php/jthc/article/view/1406
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