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Myocardial infarction

Prevalence
Clinical features
Differential diagnosis
Investigations
Therapy
Prevention
Prognosis
Prognosis

Death

The risk of dying is increased with 

  • increasing age  a b
  • female sex a b (women over 65) b
  • hospitals that admit few cases of MI a  

Why?

Female sex and increasing age increase the risk of dying

Patient Prognostic Factor Outcome CER OR
(95% CI)
NNF+
(95% CI)
myocardial infarction a female
independent
death
at months
14% 1.18
(1.16 to 1.20)
26
(23 to 28)
first myocardial infarction b advanced age (> 70)
independent
death
at uncertain duration
4.0% 7.0
(4.8 to 10.2)
5
(4 to 8)

Expiry date: November 2003
Levels of Evidence used in grading these guides

Author   CM   Ball , N   Shenker
Reviewer   S   Straus
CAT Writers   CJ   Wotton , N   Shenker , B   Phillips , CM   Ball