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The Influencing Factors Of Inpatient Mortality Of Acute Myocardial Infarction And Reperfusion Therapy Prospective Comparative Study

Posted on:2007-10-21Degree:DoctorType:Dissertation
Country:ChinaCandidate:S L JiangFull Text:PDF
GTID:1114360185984361Subject:Internal Medicine
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BackgroundIt is well known that cardiovascular disease (CVD) especially coronary heart disease (CHD) has become the world's number one cause of death and disability in 21st century, which thanks largely to the transition of human disease profile and world economic development. In the United States, nearly 1.5 million patients suffered from AMI annually. There were 950 thousand people died from CVD and CHD accounted for 70 percent in 1993. It has been reported by the American Heart Association (AHA) there was one cardiovascular death every 33 seconds in 1996. There is lower incidence of CHD in China and other developing countries compared with developed countries at present. However, CHD will become the number one killer of all deaths with the economic development and the changes of people's lifestyles.As the worst kind of CHD, acute myocardial infarction (AMI) has attracted more and more attention and clinical and epidemiological studies in this domain flourished greatly. Since 1990, guidelines on the management of patients with AMI, congestive heart failure (CHF), hypertension or hyperlipidemia have been published one after another with the development of Evidence-based Medicine and the completion of numerous randomized multicenter clinical trials. All of these guidelines have great impact on the management of Chinese patients with CVD, especially of patients with AMI. However, there are still many problems unsolved in the study of...
Keywords/Search Tags:Myocardial infarction, Treatment guidelines, Age, Gender, Complications, Outcome, Mortality, Thrombolytic therapy, Primary PCI, Facilitated PCI, Unfractionated heparin, Low molecular weight heparin
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