Prognosis of ventricular fibrillation in hospital
Research output: Contribution to journal › Journal article › Research › peer-review
In a retrospective study of 520 patients with in-hospital ventricular fibrillation 421 (81%) had acute myocardial infarction (MI), 66 (13%) had ischaemic heart disease (IHD) without MI, 33 (6%) had no signs of IHD. The in-hospital mortality of these three groups was 51%, 52%, and 27%, respectively (P = 0.01). Logistic regression analysis demonstrated that heart failure and cardiogenic shock were significant risk factors for in-hospital death among patients with IHD. Among discharged patients 1 and 5 years survival was 78% and 51% for patients with MI, 63% and 25% for patients with IHD, 67% and 54% for patients without IHD. A proportional hazard model demonstrated old age, heart failure and cardiogenic shock as risk factors for long-term prognosis, while MI was associated with a reduced relative risk ratio = 0.58 of long-term mortality among patients with IHD. In conclusion, patients with known IHD suffering in-hospital VF without AMI have a very poor short- and long-term prognosis. These patients need extensive cardiac examination.
Original language | English |
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Journal | European Heart Journal |
Volume | 13 |
Issue number | 9 |
Pages (from-to) | 1185-8 |
Number of pages | 3 |
ISSN | 0195-668X |
Publication status | Published - 1992 |
Bibliographical note
Keywords: Aged; Cause of Death; Death, Sudden; Denmark; Female; Hospital Mortality; Humans; Male; Middle Aged; Myocardial Infarction; Myocardial Ischemia; Prognosis; Proportional Hazards Models; Recurrence; Risk Factors; Ventricular Fibrillation
ID: 17422456