J. Herlitz et al., Long-term survival after development of acute myocardial infarction has improved after a move widespread use of thrombolysis and aspirin, CARDIOLOGY, 91(4), 1999, pp. 250-255
Citations number
22
Categorie Soggetti
Cardiovascular & Respiratory Systems","Cardiovascular & Hematology Research
We describe the mortality during the subsequent 5 years after development o
f acute myocardial infarction prior to and after the introduction of a more
widespread use of thrombolytic agents and aspirin in the community of Gote
borg. During period I, 4% received thrombolysis as compared with 32% during
period II (p < 0.0001), The corresponding figures for prescription of aspi
rin at discharge were 14 and 84%, respectively (p < 0.0001), The overall 5-
year mortality was 48% during period I and 46% during period II (p = 0.09),
However, the age-adjusted mortality during period II was significantly red
uced (risk ratio 0.86; 95% confidence interval 0.78-0.95; p = 0.004), There
was no significant interaction between improvement in survival and sex or
any other para meter reflecting patients' clinical history.