Skip Navigation

European Heart Journal 2004 25(22):2013-2018; doi:10.1016/j.ehj.2004.08.009
Copyright © 2004 by the European Society of Cardiology.
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (11)
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by Taneja, A. K.
Right arrow Articles by Fox, K. A.A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Taneja, A. K.
Right arrow Articles by Fox, K. A.A.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

Clinical research

Mortality following non-ST elevation acute coronary syndrome: 4 years follow-up of the PRAIS UK Registry (Prospective Registry of Acute Ischaemic Syndromes in the UK)

Anil K. Tanejaa,b,*, Julian Collinsona, Marcus D. Flathera,b,*, Ameet Bakhaia, Diego Perez de Arenazaa,c, Duolao Wangd, Jennifer Adgeye and Keith A.A. Foxf

a Clinical Trials and Evaluation Unit, Royal Brompton and Harefield NHS Trust, Sydney Street, London SW3 6NP, UK
b National Heart and Lung Institute, Imperial College School of Medicine, London, UK
c Hospital Italiano, Buenos Aires, Argentina
d Medical Statistics Unit, London School of Hygiene and Tropical Medicine, UK
e Royal Victoria Hospital, Belfast, UK
f The Royal Infirmary of Edinburgh, Edinburgh, UK

Received February 4, 2004; revised July 31, 2004; accepted August 5, 2004 * Corresponding author. Tel.: +44 (0) 207 351 8827; fax: +44 (0) 207 351 8829 (E-mail: m.flather{at}rbh.nthames.nhs.uk).

Aim To present information on long-term prognosis and risk factors following an admission with non-ST elevation acute coronary syndrome.

Methods A cohort of 653 patients was followed for mortality and causes of death using data from the UK Office of National Statistics (ONS). Cox proportional hazards model was used to identify the prognostic factors.

Results Overall survival at a maximum follow-up of 45 months was 77.8% (95% CI 74.1–81.1%). Seventy-three per cent of the deaths were clearly due to a cardiovascular cause. Age, male gender, heart failure, ST depression or bundle branch block were all associated with higher short- and long-term risk. Taking aspirin or having a revascularization procedure, over the period of six months following initial hospitalisation were both associated with a lower long-term risk.

Conclusion Non-ST elevation acute coronary syndromes carry a high risk of death over a 4-year period. Conventional risk factors can predict both short- and long-term risk. More invasive management and the use of evidence-based therapies appear to be associated with a lower risk.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 HeartHome page
R Gao, A Patel, W Gao, D Hu, D Huang, L Kong, W Qi, Y Wu, Y Yang, P Harris, et al.
Prospective observational study of acute coronary syndromes in China: practice patterns and outcomes
Heart, May 1, 2008; 94(5): 554 - 560.
[Abstract] [Full Text] [PDF]

Home page
 Postgrad. Med. J.Home page
P Wong, A Ramsewak, S Murray, A Robinson, D Robinson, and E Rodrigues
Effects of comorbidity and hospital care on 6-month mortality in patients with elevated cardiac troponin T
Postgrad. Med. J., May 1, 2007; 83(979): 332 - 337.
[Abstract] [Full Text] [PDF]

Home page
 QJMHome page
J. Collinson, A. Bakhai, A. Taneja, D. Wang, and M.D. Flather
Admission ECG predicts long-term outcome in acute coronary syndromes without ST elevation
QJM, September 1, 2006; 99(9): 601 - 607.
[Abstract] [Full Text] [PDF]

Home page
 Postgrad. Med. J.Home page
P Wong, A Robinson, S Shaw, and E Rodrigues
Long term clinical outcome and bleeding complications among hospital survivors with acute coronary syndromes.
Postgrad. Med. J., March 1, 2006; 82(965): 224 - 227.
[Abstract] [Full Text] [PDF]


Disclaimer:
Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.