Introduction. The term “risk factors” describes the traits of healthy people connected independently with the recurrent cardiovascular disease morbidity. It includes the lifestyle, biochemical and physiological modified traits, and also the personal unmodified traits such as: age, gender, and family history in the recurrent of cardiovascular disease in younger age (male <55 years of age, female <65 years of age).
In general, the concept of risk factors is a great priority in the improvement of the prevention strategy of the coronary diseases.
Aim. To evaluate the predictive ability of risk factors of cardiovascular disease in long-term prognosis of the patients with recurrent myocardial infarct during 3 years period of the patients after a new event of myocardial infarct in the Elbasan region.
Methodology. It is a 3-year cohort, for a period from 2009-2012 to evaluate the prognostic abilities of the clinical traits in the patients where they were hospitalized in undesired long-term results such as the new recurrent infarct. To see the effect of risk factors for cardiovascular disease in the recurrent or not in another episode of AMI, we used the analysis curve of survival Kaplan Meier. A rate of p<0.05 is considered significant for the statistics.
Results. At the end of the study 16 patients out of 65 had an interest events (death/recurrent infarct) that is significantly lower its non-occurrence (p 0.05). Changes in the survival rate of individuals according to the normal or high levels of cholesterol, presence or not of the diabetes has statistic changes (Log Rank p<0.05).
Conclusions. Knowledge of the risk factors that are also a prognosis factor in the patient performance with AMI helps in defining patients that need to undergo a more specific check up to avoid these undesired results. This is due to the fact that patients who have been smokers, have diabetes, hypercholesterolemia history are at a higher risk to have a reserved prognosis of the disease (recurrence of myocardial infarct or death).
Keywords: risk factors, acute myocardial infarction, the long-term prognosis, survival.
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