1. Impact and Outcomes of Patients with Congestive Heart Failure Complicating Non-ST-Segment Elevation Myocardial Infarction,Results from a Nationally-Representative United States Cohort
- Author
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Abdullah Sayied Abdullah, Eyas Kanaan, Richard Alweis, Ashraf Abugroun, Aamer Javed, Abdul Wahab, Amr Salama, Ahmed S. Yassin, George Eigbire, Ahmed Subahi, Amir Kaki, Ayman Abulawi, Tamam Mohamad, Mahir Elder, and Hossam Abubakar
- Subjects
Male ,medicine.medical_specialty ,Time Factors ,Databases, Factual ,medicine.medical_treatment ,030204 cardiovascular system & hematology ,Risk Assessment ,03 medical and health sciences ,0302 clinical medicine ,Percutaneous Coronary Intervention ,Risk Factors ,Internal medicine ,medicine ,ST segment ,Humans ,cardiovascular diseases ,030212 general & internal medicine ,Myocardial infarction ,Hospital Mortality ,Coronary Artery Bypass ,Non-ST Elevated Myocardial Infarction ,Aged ,Retrospective Studies ,Aged, 80 and over ,Heart Failure ,business.industry ,Percutaneous coronary intervention ,General Medicine ,Length of Stay ,Middle Aged ,medicine.disease ,United States ,medicine.anatomical_structure ,Treatment Outcome ,Heart failure ,Conventional PCI ,Cohort ,Propensity score matching ,Cardiology ,Female ,Cardiology and Cardiovascular Medicine ,business ,Artery - Abstract
INTRODUCTION Congestive heart failure (CHF) is seen in up to 13-25% of patients with NSTEMI. Recent data describing the impact of congestive heart failure (CHF) on in-hospital outcomes in patients with non-ST-segment elevation myocardial infarction (NSTEMI) in the United States is limited. We sought to examine the in-hospital outcomes, and management of CHF in patients admitted to the hospital with NSTEMI. METHODS National Inpatient Sample (NIS) database (2010-2014) was analyzed to identify patients with NSTEMI using ICD-9-CM codes. The primary outcome was in-hospital mortality. Propensity score-matching analysis compared mortality in CHF patients to matched controls without CHF. RESULTS Of 247,624 patients with NSTEMI, 84,115 (34%) had CHF. Patients with CHF were less likely to receive percutaneous coronary intervention (PCI) [20.48% vs. 40.9%, P
- Published
- 2018