Research Article
Mortality Trends in Patients Hospitalized with the Initial Acute Myocardial Infarction in a Middle Eastern Country over 20 Years
Table 2
Management and in-hospital outcomes according to study period (1991–2010).
| | Variables (%) | 1991–2000 | 2001–2010 | -value
for trend |
| Medication during 1st 24 h
of admission | | | | | Thrombolytic | 1820 (71) | 2516 (65) | 0.001 | | Antiplatelet drugs | 3122 (84) | 6822 (95) | 0.001 | | Heparin | 2105 (56) | 4249 (59) | 0.003 | | -blockers | 1415 (38) | 4005 (56) | 0.001 | | ACE inhibitors/ARB | 452 (12) | 2579 (36) | 0.001 | | Coronary angiography | 1161 (31) | 1309 (18) | 0.001 | | PCI | 95 (2.5) | 1051 (14.6) | 0.001 | | CABG | 73 (2) | 140 (2) | 0.99 | | In-hospital outcomes | | | | | Death | 329 (8.8) | 385 (5.4) | 0.001 | | Cerebrovascular accident | 39 (1) | 11 (0.2) | 0.001 | | Cardiogenic shock | 138 (3.7) | 207 (2.9) | 0.02 | | Cardiac arrest | 266 (7.1) | 363 (5.1) | 0.001 | | Congestive heart failure | 210 (5.6) | 252 (3.5) | 0.001 | | Medication at discharge | | | | | Antiplatelet agent | 3318 (88.7) | 6931 (96.6) | 0.001 | | -blockers | 1415 (37.8) | 4005 (55.8) | 0.001 | | ACE inhibitors/ARB | 452 (12.1) | 2579 (35.9) | 0.001 | | Final discharge diagnosis | | | | | ST-elevation MI | 2547 (68) | 3859 (54) | | | Non-ST-elevation MI | 1193 (32) | 3316 (46) | 0.001 | | Hospital days (mean ± SD) | | | | | Coronary care units stay | | | 0.40 | | Total hospital stay | | | 0.001 |
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ACE inhibitors/ARB: angiotensin converting enzyme inhibitors/angiotensin receptor blocker; CABG: coronary artery bypass grafting; PCI: percutaneous coronary intervention; MI: myocardial infarction.
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