I.K. Sledzevskaya, L.N. Babiy, E.P. Pogurelskaya, Yu.O. Khomenko, L.F. Kisilevich, L.S. Prokhna, Ya.Yu. Scherbak Survival and its determining factors in patients with postinfarction cardiosclerosis during two-year follow-up

The aim of this research was to determine predictors of death in patients with postinfarction cardiosclerosis (PICS) during two-year follow-up. 329 patients after myocardial infarction (MI) were inspected. Survival,
prevalence and reasons of deaths were analyzed. It was established that death cases occurred during 2 years in 5.2 % patients, mainly (88 %) from cardiac cause. Reverse relation between functional class (FC) and survival
was revealed: survival was the worst in patients with IV and III FC. The most informative predictors of death during two year follow-up were early postinfarction angina, III–IV functional classes, systolic dysfunction with left ventricular ejection fraction less than 45 %, heart failure IIA stage and secondary MI. These data may be used to determine individual risk and select patients with PICS for surgical myocardial revascularization.

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