Comparison of death rates from acute myocardial infarction in a single hospital in two different periods (1977–1978 versus 1988–1989)

Is female sex an independent predictor of in-hospital mortality in acute myocardial infarction?

“…At the time of acute myocardial infarction, in addition to the more advanced age (mean of 8 years in the population studied), females had a higher association with hypertension, which turned them into a higher risk group for mortality, according to a few reports 6,8,13,16,21 . On the other hand, males exhibited a higher incidence of tobacco use, as in most studies, which has been surprisingly related to lower in-hospital mortality in acute myocardial infarction [22][23][24][25] . Gottlieb et al 22 attribute the better prognosis of smokers to their lower age and their more favorable risk profile, and not to any real benefit of tobacco use.…”

Clinical course of acute myocardial infarction in the hypertensive patient in Eastern Spain: The PRIMVAC registry

“…In the Spanish PRIAMHO study, 7 the application of coronary angiography and invasive revascularization techniques showed the greatest variability of all procedures used in relation to AMI, the mean application of coronary angiography (9% of cases) being low in comparison with other studies. 11,12 In view of the results published in the literature, doubts exist regarding the true role of arterial hypertension in relation to patient mortality during the acute phase of myocardial infarction. On one hand, some authors associate a history of hypertension with an increased risk of hemodynamic complications and an increased incidence of sudden death.…”

Five-year mortality after acute myocardial infarction in relation to previous history, level of initial care, complications in hospital, and medication at discharge

“…The impact of this medication on long-term prognosis in a nonselected population of AMI patients has not been reported. In terms of short-term prognosis, the introduction of thrombolyric agents has only had a minor impact on the outcome [24]. Furthermore, the use of revascularization procedures was low compared with the routines used in many other countries.…”