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Hypertension and myocardial infarction.

C Wilhelmsson, J A Vedin, D Elmfeldt

    Journal of Chronic Diseases
    |March 1, 1978
    PubMed
    Summary

    Hypertension affects 36% of male myocardial infarction survivors. While not impacting mortality, hypertension significantly increases the risk of non-fatal reinfarction within two years post-heart attack.

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    Area of Science:

    • Cardiology
    • Clinical Medicine
    • Public Health

    Background:

    • Hypertension is a common comorbidity in patients following a first myocardial infarction (MI).
    • Understanding the long-term impact of hypertension on post-MI prognosis is crucial for patient management.

    Purpose of the Study:

    • To determine the prevalence of hypertension in male patients after a first MI.
    • To investigate the influence of hypertension on the prognosis, including reinfarction and mortality, over a 2-year follow-up period.

    Main Methods:

    • A cohort of 504 male patients surviving their first MI was studied.
    • Hypertension was defined based on pre-existing diagnosis or detection post-MI.
    • Data on mortality and non-fatal reinfarction were collected over 2 years, with adjustments for confounding factors.

    Main Results:

    • Hypertension was prevalent in 36% of the male MI patient cohort.
    • No significant difference in overall death rate was observed between hypertensive and non-hypertensive groups.
    • Hypertensive patients exhibited a significantly higher rate of non-fatal reinfarction.
    • Hypertension remained an independent risk factor for adverse outcomes after MI, even after accounting for lipids and smoking.

    Conclusions:

    • Hypertension is a significant factor in male patients post-myocardial infarction.
    • Managing hypertension is critical to reduce the risk of recurrent cardiovascular events, specifically non-fatal reinfarctions.

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