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[Atrioventricular block in unstable angina. Results of the ARIAM registry].

Abstract：

OBJECTIVE:Describe the frequency of high degree atrioventricular block (HDAVB) in patients with unstable angina (UA), analyze the variables associated with their appearance and evaluate whether HDAVB is independently associated with increased mortality or increased length of ICU stay. DESIGN:Retrospective descriptive study of patients with UA included in the ARIAM registry. SETTING:ICUs from 129 hospitals in Spain. PATIENTS:From June 1996 to December 2003 a total of 14,096 patients were included in the ARIAM registry with a diagnosis of UA. MAIN VARIABLES OF INTEREST:Variables associated with the development of HDAVB, variables associated with the mortality of patients with UA, variables associated with the length of ICU stay of patients with UA. RESULTS:HDAVB frequency was 1%. Development of HDAVB was independently associated with the Killip classification and the presence of sustained ventricular tachycardia or ventricular fibrillation. Crude mortality of patients was significantly increased when HDAVB was present (9% versus 1%, p < 0,001). When adjusted for other variables, HDAVB was not associated with increased mortality. Development of HDAVB in patients with UA was independently associated with an increase in the length of ICU stay (adjusted odds ratio 1.89: 95% confidence interval: 1.33-5.69). CONCLUSIONS:Patients with UA complicated with HDAVB represent a high-risk population with an increased ICU stay.

journal_name

Med Intensiva

journal_title

Medicina intensiva

authors

Ruiz-Bailén M,Pola Gallego MD,Expósito Ruiz M,Pintor Mármol A,Issa-Khozouz Z,Aguayo De Hoyos E,Rucabado-Aguilar L,Castillo-Rivera AM,Morante-Valle A,Rodríguez-Puche JA,García-Alcántara A,Gómez Jiménez FJ,Grupo ARIAM.

doi

10.1016/s0210-5691(06)74566-1

subject

Has Abstract

pub_date

2006-12-01 00:00:00

pages

432-9

issue

9

eissn

0210-5691

issn

1578-6749

pii

13096528

journal_volume

30

pub_type

杂志文章

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