Aldosterone and long-term outcome after myocardial infarction: A substudy of the french nationwide Observatoire sur la Prise en charge hospitalière, l'Evolution à un an et les caRactéristiques de patients présentant un infArctus du myocarde avec ou sans onde Q (OPERA) study.
Identifieur interne : 000599 ( Ncbi/Merge ); précédent : 000598; suivant : 000600Aldosterone and long-term outcome after myocardial infarction: A substudy of the french nationwide Observatoire sur la Prise en charge hospitalière, l'Evolution à un an et les caRactéristiques de patients présentant un infArctus du myocarde avec ou sans onde Q (OPERA) study.
Auteurs : Farzin Beygui [France] ; Gilles Montalescot ; Eric Vicaut ; Stephanie Rouanet ; Eric Van Belle ; Cathrine Baulac ; Alexia Degrandsart ; Jean DallongevilleSource :
- American heart journal ; 2009.
Descripteurs français
- Wicri :
- geographic : France.
English descriptors
- KwdEn :
- MESH :
- chemical , blood : Aldosterone.
- geographic , epidemiology : France.
- blood : Myocardial Infarction.
- mortality : Myocardial Infarction.
- trends : Survival Rate.
- Female, Follow-Up Studies, Humans, Male, Middle Aged, Prognosis, Prospective Studies, Registries, Risk Factors.
Abstract
High plasma aldosterone levels at presentation are correlated to poor outcome after ST elevation acute myocardial infarction (AMI). Whether there is a relationship between aldosterone levels and outcome in a broader spectrum of patients admitted for AMI defined by the new definition based on troponin levels remains unknown.
DOI: 10.1016/j.ahj.2008.12.013
PubMed: 19332195
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pubmed:19332195Le document en format XML
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<author><name sortKey="Beygui, Farzin" sort="Beygui, Farzin" uniqKey="Beygui F" first="Farzin" last="Beygui">Farzin Beygui</name>
<affiliation wicri:level="1"><nlm:affiliation>Institut de Cardiologie and INSERM U, Pitié-Salpétrière University Hospital, APHP, Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Institut de Cardiologie and INSERM U, Pitié-Salpétrière University Hospital, APHP, Paris</wicri:regionArea>
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<author><name sortKey="Montalescot, Gilles" sort="Montalescot, Gilles" uniqKey="Montalescot G" first="Gilles" last="Montalescot">Gilles Montalescot</name>
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<author><name sortKey="Vicaut, Eric" sort="Vicaut, Eric" uniqKey="Vicaut E" first="Eric" last="Vicaut">Eric Vicaut</name>
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<author><name sortKey="Rouanet, Stephanie" sort="Rouanet, Stephanie" uniqKey="Rouanet S" first="Stephanie" last="Rouanet">Stephanie Rouanet</name>
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<author><name sortKey="Van Belle, Eric" sort="Van Belle, Eric" uniqKey="Van Belle E" first="Eric" last="Van Belle">Eric Van Belle</name>
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<author><name sortKey="Baulac, Cathrine" sort="Baulac, Cathrine" uniqKey="Baulac C" first="Cathrine" last="Baulac">Cathrine Baulac</name>
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<author><name sortKey="Degrandsart, Alexia" sort="Degrandsart, Alexia" uniqKey="Degrandsart A" first="Alexia" last="Degrandsart">Alexia Degrandsart</name>
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<author><name sortKey="Dallongeville, Jean" sort="Dallongeville, Jean" uniqKey="Dallongeville J" first="Jean" last="Dallongeville">Jean Dallongeville</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Aldosterone and long-term outcome after myocardial infarction: A substudy of the french nationwide Observatoire sur la Prise en charge hospitalière, l'Evolution à un an et les caRactéristiques de patients présentant un infArctus du myocarde avec ou sans onde Q (OPERA) study.</title>
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<author><name sortKey="Baulac, Cathrine" sort="Baulac, Cathrine" uniqKey="Baulac C" first="Cathrine" last="Baulac">Cathrine Baulac</name>
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<author><name sortKey="Dallongeville, Jean" sort="Dallongeville, Jean" uniqKey="Dallongeville J" first="Jean" last="Dallongeville">Jean Dallongeville</name>
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<series><title level="j">American heart journal</title>
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<term>Male</term>
<term>Middle Aged</term>
<term>Myocardial Infarction (blood)</term>
<term>Myocardial Infarction (mortality)</term>
<term>Prognosis</term>
<term>Prospective Studies</term>
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<term>Humans</term>
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<front><div type="abstract" xml:lang="en">High plasma aldosterone levels at presentation are correlated to poor outcome after ST elevation acute myocardial infarction (AMI). Whether there is a relationship between aldosterone levels and outcome in a broader spectrum of patients admitted for AMI defined by the new definition based on troponin levels remains unknown.</div>
</front>
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<pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">19332195</PMID>
<DateCreated><Year>2009</Year>
<Month>03</Month>
<Day>31</Day>
</DateCreated>
<DateCompleted><Year>2009</Year>
<Month>04</Month>
<Day>21</Day>
</DateCompleted>
<DateRevised><Year>2013</Year>
<Month>11</Month>
<Day>21</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1097-6744</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>157</Volume>
<Issue>4</Issue>
<PubDate><Year>2009</Year>
<Month>Apr</Month>
</PubDate>
</JournalIssue>
<Title>American heart journal</Title>
<ISOAbbreviation>Am. Heart J.</ISOAbbreviation>
</Journal>
<ArticleTitle>Aldosterone and long-term outcome after myocardial infarction: A substudy of the french nationwide Observatoire sur la Prise en charge hospitalière, l'Evolution à un an et les caRactéristiques de patients présentant un infArctus du myocarde avec ou sans onde Q (OPERA) study.</ArticleTitle>
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<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ahj.2008.12.013</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">High plasma aldosterone levels at presentation are correlated to poor outcome after ST elevation acute myocardial infarction (AMI). Whether there is a relationship between aldosterone levels and outcome in a broader spectrum of patients admitted for AMI defined by the new definition based on troponin levels remains unknown.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Plasma aldosterone, C-reactive protein, and brain natriuretic peptide (BNP) were measured in 471 patients, 24 and 72 hours after admission for AMI defined by the new definition. The primary outcome was the composite of death, resuscitated cardiac arrest, recurrent/extended myocardial infarction, recurrent ischemia, heart failure, and stroke.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The highest aldosterone levels quartile at 24 hours was significantly associated with the occurrence of the primary outcome (P < .0001), death (P < .05), heart failure (P < .05), ventricular (P < .0001) and supraventricular arrhythmias (P < .05), and acute renal failure (P < .01) during the in-hospital period, and higher rates of mortality (P < .05) at 1-year follow-up. Independent correlates of the primary outcome at 1 year were age > or =73 (odds ratio [OR] 2.22 [1.38-3.57]), heart failure (OR 6.46 [1.99-20.98]), 24-hour aldosterone > or =103.6 pg.mL(-1) (OR 1.72 [1.07-2.77]), and BNP > or =389 pg.mL(-1) (OR 2.35 [1.44-3.84]) concentrations. The model applied to the 72-hour variables, identified the same correlates.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Using the new definition of AMI, based on troponin levels, regardless of ST-segment elevation and management strategies, high aldosterone concentration is associated with major adverse in-hospital events and is an independent correlate of clinical outcome at 1 year. These findings warrant trials assessing the benefit of early aldosterone blockade in such patients.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Beygui</LastName>
<ForeName>Farzin</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>Institut de Cardiologie and INSERM U, Pitié-Salpétrière University Hospital, APHP, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Montalescot</LastName>
<ForeName>Gilles</ForeName>
<Initials>G</Initials>
</Author>
<Author ValidYN="Y"><LastName>Vicaut</LastName>
<ForeName>Eric</ForeName>
<Initials>E</Initials>
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<Author ValidYN="Y"><LastName>Rouanet</LastName>
<ForeName>Stephanie</ForeName>
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<Author ValidYN="Y"><LastName>Van Belle</LastName>
<ForeName>Eric</ForeName>
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</Author>
<Author ValidYN="Y"><LastName>Baulac</LastName>
<ForeName>Cathrine</ForeName>
<Initials>C</Initials>
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<Author ValidYN="Y"><LastName>Degrandsart</LastName>
<ForeName>Alexia</ForeName>
<Initials>A</Initials>
</Author>
<Author ValidYN="Y"><LastName>Dallongeville</LastName>
<ForeName>Jean</ForeName>
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</Author>
<Author ValidYN="Y"><CollectiveName>OPERA Investigators</CollectiveName>
</Author>
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<Language>eng</Language>
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<name sortKey="Dallongeville, Jean" sort="Dallongeville, Jean" uniqKey="Dallongeville J" first="Jean" last="Dallongeville">Jean Dallongeville</name>
<name sortKey="Degrandsart, Alexia" sort="Degrandsart, Alexia" uniqKey="Degrandsart A" first="Alexia" last="Degrandsart">Alexia Degrandsart</name>
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