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Medical Journal of Islamic Republic of Iran، جلد ۱۸، شماره ۴، صفحات ۲۹۳-۲۹۶
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عنوان انگلیسی STUDY OF THE ASSOCIATION BETWEEN ACTIVITY LEVEL AT ONSET OF SYMPTOMS AND PATIENT OUTCOME OF F IRST ACUTE MYOCARDIAL INFARCTION
چکیده انگلیسی مقاله This study sought to compare the clinical features and outcome of a first acute myocardial infarction (AMI) with onset of symptoms during or within 30 minutes of exercise, at rest and in bed. Information collected using a standard questionnaire was used to relate activity at the onset of symptoms and in-hospital outcome in 500 consecutive patients admitted to our heart center with a first AMI between 2000-2002. Patients with exercise-related onset were more likely to be younger and male. Those with onset in bed were more likely to be older and have a history of stable or unstable angina. By way of comparison between patients whose symptoms began at rest and exercise, those with exercise-related onset had lower in-hospital mortality after adjusting for age and gender [odd's ratio (OR) 0.53, 95% confidence interval (CI) 0.39-0.93 (p= 0.03)]. Compared with patients whose symptoms began at rest, patients with onset in bed had a higher mortality rate [OR 1.42,95% CI 1.03 -1.98 (p= 0.028)]. The incidence of moderate or severe left ventricular dysfunction was also lower for exercise -related onset [OR 0.79,95% CI 0.6-1.01 (p= 0.32-but not statistically significant)] and higher when onset was in bed [OR 1.5, 95% CI 1.2-1.77 (p=0.039)]. There is an association between activity at onset and outcome of AMI. Differences in pathophysiology or in the population at risk could explain this observation.
کلیدواژه‌های انگلیسی مقاله Activity, Acute Myocardial Infarction, Outcome.
نویسندگان مقاله جهانبخش صمدیخواه | jahanbakhsh samadikhah
from the shaheed madani heart hospital, tabriz university of medical sciences, tabriz, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تبریز (Tabriz university of medical sciences)

سیدهادی حکیم | s hadi hakim
from the shaheed madani heart hospital, tabriz university of medical sciences, tabriz, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تبریز (Tabriz university of medical sciences)

آذین علیزاده اصل | azin alizadeh asl
from the shaheed madani heart hospital, tabriz university of medical sciences, tabriz, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تبریز (Tabriz university of medical sciences)

رسول آذرفرین | rasoul azarfarin
from the shaheed madani heart hospital, tabriz university of medical sciences, tabriz, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تبریز (Tabriz university of medical sciences)

نشانی اینترنتی http://mjiri.iums.ac.ir/browse.php?a_code=A-10-298-68&slc_lang=en&sid=en
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زبان مقاله منتشر شده en
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