Closing the mortality gap after a myocardial infarction in people with and without chronic obstructive pulmonary disease.

ABSTRACT:

Objective

Patients with chronic obstructive pulmonary disease (COPD) have increased mortality following myocardial infarction (MI) compared with patients without COPD. We investigated the extent to which differences in recognition and management after MI could explain the mortality difference.

Methods

300 161 patients with a first MI between 2003 and 2013 were identified in the UK Myocardial Ischaemia National Audit Project database. Logistic regression was used to compare mortality in hospital and at 180 days postdischarge between patients with and without COPD. Variables relating to inhospital factors (delay in diagnosis, use of reperfusion and time to reperfusion/use of angiography) and use of secondary prevention were sequentially added to models.

Results

Mortalit

SUBMITTER: Rothnie KJ 

PROVIDER: S-EPMC4516011 | biostudies-literature | 2015 Jul

REPOSITORIES: biostudies-literature