Prognosis of Developing Heart Failure Following ST Elevation (STEMI) and Non ST Elevation (NSTEMI) Infarct

Patients with myocardial infarction (mi) and heart failure (hf) have a poor prognosis. however, there is a paucity of data investigating the difference in the prognosis of patients who developed hf following either st elevation (stemi) or non-st elevation mi (nstemi) as evidenced by electrocardiogram (ecg). aim: to identify the prognosis of patients who develop hf following stemi and nstemi. method: case notes of 204 patients who had an mi in 1998 were identified according to the hospital discharge summary by the hull & east yorkshire hospitals trust information department, were used to identify events between 1998 and 2005. results: 40% had died by the end of 205. 68% of the sample were male (mean age 67 ±12 years). 71% of patients had stemi and 29% had nstemi. the overall mortality was similar in stemi and nstemi (41% vs 32%). however, there was a trend towards higher early mortality in stemi during index admission (21% vs 11%). 81 patients developed hf following mi during the index admission. these patients had higher early (during first admission), late (during follow-up) and overall mortality rates when compared to those who did not develop heart failure similar trends were observed in those with stemi and nstemi.