RT Journal Article
T1 Preinfarction angina prior to first myocardial infarction does not influence long-term prognosis: a retrospective study with subgroup analysis in elderly and diabetic patients.
A1 Jiménez-Navarro, Manuel F
A1 Muñoz-García, Antonio
A1 Ramírez-Marrero, Miguel A
A1 Domínguez-Franco, Antonio
A1 García Alcántara, Ángel
A1 Gómez-Doblas, Juan José
A1 Alonso-Briales, Juan
A1 Hernández-García, José María
A1 Salva, Dolores
A1 Rodríguez-Losada, N
A1 de Teresa, Eduardo
K1 Angina de pecho
K1 Anciano
K1 Angina inestable
K1 Insuficiencia cardíaca
K1 Complicaciones de la diabetes
K1 Hospitalización
K1 Humanos
K1 Infarto del miocardio
K1 Readmisión del paciente
K1 Modelos de riesgos proporcionales
K1 Recurrencia
K1 Estudios retrospectivos
K1 Medición de riesgo
K1 Factores de riesgo
K1 Terapia trombolítica
K1 Factores de tiempo
K1 Resultado del tratamiento
AB 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.
PB Wiley
SN 0160-9289
YR 2009
FD 2009-09
LK http://hdl.handle.net/10668/1740
UL http://hdl.handle.net/10668/1740
LA en
NO Jiménez-Navarro MF, Muñoz-García A, Ramírez-Marrero MA, Domínguez-Franco A, García Alcántara A, Gómez-Doblas JJ, et al. Preinfarction angina prior to first myocardial infarction does not influence long-term prognosis: a retrospective study with subgroup analysis in elderly and diabetic patients. Clin Cardiol. 2009                         ; 32(9):E62-5
NO Journal Article;
DS RISalud
RD Apr 7, 2025