Prognostic value of a history of hypertension in 11483 patients with acute myocardial infarction treated with thrombolysis


    loading  Checking for direct PDF access through Ovid

Abstract

ObjectiveTo assess the prognostic value of a history of hypertension in patients with acute myocardial infarction (AMI) treated with thrombolysis.DesignRetrospective adjusted analysis of outcome data of patients with AMI randomly allocated to treatment in a controlled study of alteplase versus streptokinase and heparin versus no heparin.SettingA highly representative sample (about 90%) of Italian Coronary Care Units.PatientsPatients with (n=3306) and without (n=7406) a history of treated hypertension.Main outcome measuresMorbidity and mortality during hospital stay and the next 6 months.ResultsPatients with a history of hypertension had a significantly higher mortality, both in hospital and during the next 6 months. The difference persisted also after a multivariate analysis including all major prognostic factors for in-hospital and 6-month mortality, respectively. Left ventricular failure and recurrent ischaemic events (angina and re-infarction) were also significantly more frequent in hypertensives both during their hospital stay and during follow-up study.ConclusionsA history of hypertension is a negative independent prognostic factor after acute myocardial infarction treated with thrombolysis.

    loading  Loading Related Articles