Risk factors and in-hospital outcomes in stroke and myocardial infarction patients

Ivanusa, Mario; Ivanusa, Zrinka
January 2004
BMC Public Health;2004, Vol. 4, p26
Academic Journal
Background: Acute stroke (AS) and acute myocardial infarction (AMI) share major risk factors such as age, gender, and high blood pressure. The main objective of this study was to compare vascular risk factor profiles with in-hospital outcomes in AS and AMI patients. Methods: We evaluated 486 consecutive patients who were admitted to Bjelovar General Hospital with diagnoses of AS (ischaemic stroke or intracerebral haemorrhage; N = 380) or AMI (N = 106) during a one year period. The frequency of risk factors and in-patient mortality rates were assessed in both groups. For statistical analysis we used t-tests and &chi2; tests. Results: AS patients were significantly older than AMI patients: the mean age for AS patients was 68.9 ± 9.1 years, and for AMI patients was 62.8 ± 11.7 years (p < 0.001). AMI was significantly more common than AS in patients younger than 65 years; 51% of this group had AMI and 26% had AS (p < 0.001). Hypertension was a more common risk factor in AS patients (69% AS patients vs. 58% AMI patients; p = 0.042). Patients who died did not differ significantly in age between the groups. In-patient mortality rates were significantly higher in AS than AMI cases (31% vs. 12%, p < 0.001 for all patients; 37% vs.5%, p < 0.001 for men). Women hospitalized for AMI were more likely to die in hospital than men (28% vs. 5%; p = 0.002). Conclusions: We found that age at the time of presentation was a significant differentiating factor between patients with AS and AMI. The only exceptions were women, whose ages at the onset of AS and AMI were similar. In contrast, patients who died did not differ significantly in age. We observed significantly higher inpatient mortality for men (when adjusted for age) than for women with AS. The five-fold higher in-patient mortality rate in women than in men with AMI is most likely to have resulted from other factors related to treatment.


Related Articles

  • Atrial fibrillation, ST elevation, and history predict post-MI stroke.  // Modern Medicine;Aug97, Vol. 65 Issue 8, p51 

    Presents an abstract of `Ischemic Stroke After Acute Mycocardial Infarction: A Population-Based Study,' by T. Mooe, P. Eriksson and B. Stegmayr from `Stroke' dated April 1997.

  • Local confidential inquiry into avoidable factors in deaths from stroke and hypertensive disease. Payne, J.N.; Milner, P.C.; Saul, C.; Bowns, I.R.; Hannay, D.R.; Ramsay, L.E. // BMJ: British Medical Journal (International Edition);10/23/93, Vol. 307 Issue 6911, p1027 

    Evaluation of avoidable factors in deaths from stroke and hypertensive disease in Great Britain. Analysis of cases of important avoidable factors; Details on the interassessor and intra-assessor agreement on cause of death; Rate of deaths caused by cerebrovascular disease.

  • A study of anatomical, seasonal and diurnal variation in the occurrence of ischemic stroke. Dubey, Divyanshu; Sawhney, Anshudha; Kavishwar, Arvind; Pande, Sonjjay; Dubey, Devashish // International Journal of Collaborative Research on Internal Medi;Oct2011, Vol. 3 Issue 10, p781 

    Introduction: Stroke is the third largest cause of mortality in India after heart attack and cancer. The stroke mortality rates are declining or stabilising in developed countries but there is concern over the emerging epidemic of stroke in India. Study of topographical distribution, seasonal...

  • Risk factors for myocardial infarction case fatality and stroke case fatality in type 2 diabetes: UKPDS 66. Stevens, Richard J.; Coleman, Ruth L.; Adler, Amanda I.; Stratton, Irene M.; Matthews, David R.; Holman, Rury R. // Diabetes Care;Jan2004, Vol. 27 Issue 1, p201 

    Objective: Patients with diabetes have a higher case fatality rate in myocardial infarction (MI) or stroke than those without diabetes: that is, MI and stroke are more often fatal if diabetes is present. We investigated whether the risk of MI or stroke being fatal in type 2 diabetes...

  • Risk factors for cerebrovascular and cardiovascular diseases beyond age 75 years. Mostafaie, N.; Huber, K.; Sebesta, C.; Krampla, W.; Jungwirth, S.; Zehetmayer, S.; Hinterberger, M.; Krugluger, W.; Tragl, K.; Fischer, P. // Journal of Neural Transmission;Nov2010, Vol. 117 Issue 11, p1247 

    Globally, cardiovascular diseases (CVDs) are the number one cause of all mortalities. Of these deaths, 7.6 million are due to heart attacks, and 5.7 millions are due to stroke. The Vienna Transdanube Aging Study (VITA), a population-based cohort study, enabled us to evaluate associations between...

  • COPD exacerbationsz Not so innocent.  // Internal Medicine Alert;6/15/2010 Supplement, p87 

    The article discusses the study which proved the association of acute exacerbation of chronic obstructive pulmonary disease (AE-COPD) to the increased stroke and myocardial infarction (MI) incidences to COPD patients.

  • Highlights.  // American Journal of Hypertension;Aug2010, Vol. 23 Issue 8, p811 

    The article focuses on studies regarding elevated serum uric acid (SUA) levels, which are risk factors of stroke and heart attack, and on the left ventricular hypertrophy (LVH) in relation to SUA. It offers information on the use of Losartan Intervention for Endpoint Reduction in Hypertension...

  • PLASMA RENIN ACTIVITY AND VASCULAR DISEASE IN ESSENTIAL HYPERTENSION. Mroczek, William J.; Davidov, Michael E.; Finnerty Jr., Frank A.; Catt, Kevin J. // Angiology;Feb1976, Vol. 27 Issue 2, p91 

    Presents a study on plasma renin activity in African American hypertensive patients. Citation of the association of low renin activity with lower levels of heart attacks and strokes; Elevation of the mean serum creatinine concentration in patients with high renin levels; Identification of age,...

  • Outbursts of anger as a trigger of acute cardiovascular events: a systematic review and meta-analysis.  // British Dental Journal;4/11/2014, Vol. 216 Issue 7, p415 

    '...higher rate of cardiovascular events in the 2 h following outbursts of anger.'


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics