%0 Journal Article
%A Jiménez-Navarro, Manuel F
%A Muñoz-García, Antonio
%A Ramírez-Marrero, Miguel A
%A Domínguez-Franco, Antonio
%A García Alcántara, Ángel
%A Gómez-Doblas, Juan José
%A Alonso-Briales, Juan
%A Hernández-García, José María
%A Salva, Dolores
%A Rodríguez-Losada, N
%A de Teresa, Eduardo
%T Preinfarction angina prior to first myocardial infarction does not influence long-term prognosis: a retrospective study with subgroup analysis in elderly and diabetic patients.
%D 2009
%@ 0160-9289
%U http://hdl.handle.net/10668/1740
%X BACKGROUND AND HYPOTHESISAlthough prodromal angina occurring shortly before an acute myocardial infarction (MI) has protective effects against in-hospital complications, this effect has not been well documented after initial hospitalization, especially in older or diabetic patients. We examined whether angina 1 week before a first MI provides protection in these patients.METHODSA total of 290 consecutive patients, 143 elderly (>64 years of age) and 147 adults (<65 years of age), 68 of whom were diabetic (23.4%) and 222 nondiabetic (76.6%), were examined to assess the effect of preceding angina on long-term prognosis (56 months) after initial hospitalization for a first MI.RESULTSNo significant differences were found in long-term complications after initial hospitalization in these adult and elderly patients according to whether or not they had prodromal angina (44.4% with angina vs 45.4% without in adults; 45.5% vs 58% in elderly, P < 0.2). Nor were differences found according to their diabetic status (61.5% with angina vs 72.7% without in diabetics; 37.3% vs 38.3% in nondiabetics; P = 0.4).CONCLUSIONThe occurrence of angina 1 week before a first MI does not confer long-term protection against cardiovascular complications after initial hospitalization in adult or elderly patients, whether or not they have diabetes.
%K Angina de pecho
%K Anciano
%K Angina inestable
%K Insuficiencia cardíaca
%K Complicaciones de la diabetes
%K Hospitalización
%K Humanos
%K Infarto del miocardio
%K Readmisión del paciente
%K Modelos de riesgos proporcionales
%K Recurrencia
%K Estudios retrospectivos
%K Medición de riesgo
%K Factores de riesgo
%K Terapia trombolítica
%K Factores de tiempo
%K Resultado del tratamiento
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