Impact of Acute Noncardiac Illnesses in Patients with Acute MI

Patients with acute life-threatening comorbidities made up 7% of the MI patients in this study, but they accounted for about a third of the in-hospital mortality.

Patients presenting with acute MI may also have acute, potentially life-threatening comorbidities that would require hospitalization in their own right. These researchers sought to identify the prevalence and effects of such severe, acute comorbidities.

The authors used data on 3907 patients with acute MI in the Prospective Registry Evaluating Myocardial Infarction: Event and Recovery, Quality Improvement (PREMIER-QI) study. Overall, 267 (7%) of these patients presented with acute, potentially life-threatening, noncardiac conditions. The most common conditions were pneumonia (18.4%); GI bleeding, anemia, or both (15.7%); stroke (9.7%); and sepsis (9.4%).

Compared with patients without such severe comorbidities, these patients were more likely…

Reviewing Author

Joel M. Gore, MD

Disclosures

Grant/Research SupportNIH–National Heart, Lung, and Blood Institute

Joel M. Gore, MD

Disclosures

Grant/Research SupportNIH–National Heart, Lung, and Blood Institute