Abstract
Results A total of 335 patients in 1986, 351 in 1996 and 178 patients in 2006 comprise the total study population of 864 STEMI patients. In addition 25 (6,9%) patients died within the first 24 hours of hospital admission in 1986, 33(15,6%) in 1996 and 5 (2,7%) in 2006. One-year mortality decreased from 26.3% in 1986 and 19.7% in 1996 to 12.9% in 2006 (p = 0.001). Cox proportional hazard analysis showed aspirin (HR 0.29), the use of reperfusion therapy (HR 0.51) and beta blockers at hospital discharge (HR 0.53) to be the strongest factors to explain the mortality reduction while the use of diuretics (HR 1.42) and age (HR 1.06) were related to increased one year mortality.
Highlights
Over the past two decades the treatment of ST-elevation myocardial infarction (STEMI) has changed significantly
We set out to investigate the effect of these changes on one-year mortality from STEMI
Data was collected on all hospital admissions for STEMI in Reykjavik, Iceland during the calendar years of 1986, 1996 and 2006
Summary
Over the past two decades the treatment of ST-elevation myocardial infarction (STEMI) has changed significantly. Improved mortality after STEMI over two decades Jon M Kristjansson1,2*, Bergros K Johannesdottir1, Thorarinn Gudnason2, Karl Andersen1,2 From Danish Society for Emergency Medicine: Research Symposium 2010 Roskilde, Denmark.
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