The growing importance of heart failure in myocardial infarction

Myocardial infarction (MI) is one of the main initiators of heart failure (HF) [ [1] McDonagh T.A. Metra M. Adamo M. et al. 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur. Heart J. 2021; 42: 3599-3726 Crossref PubMed Scopus (3551) Google Scholar ]. The advances made over the last 20 years in MI management, mainly through the advent of percutaneous coronary interventions, has led to a substantial decrease in cardiovascular mortality in the 1990’s and the first decade of this century. However, this has also led to an increasing number of patients surviving their MI but developing HF. Whether the favorable trend observed in MI in the 90’s would continue in the absence of the major therapeutic breakthroughs in coronary management in the last 10 years is scantily documented. In addition, the impact of HF on outcome following MI has not been sufficiently documented in large registries. Impact of age, gender and heart failure on mortality trends after acute myocardial infarction in ItalyInternational Journal of CardiologyVol. 348PreviewThe outcome of patients with acute myocardial infarction (AMI) may vary substantially based on baseline risk. We aimed at analyzing the impact of gender, age and heart failure (HF) on mortality trends, based on a nationwide, comprehensive and universal administrative database of AMI. Full-Text PDF