A number of factors were associated with an increased risk of developing heart failure after a first myocardial infarction. Every ten year rise in age was associated with a 45% increased risk. Greater socioeconomic deprivation (5th versus 1st quintile) was associated with a 27% increased risk.
The following conditions were associated with a higher risk of developing heart failure after a first myocardial infarction: diabetes (44% increased risk), atrial fibrillation (63% increased risk), peripheral arterial disease (38% increased risk), chronic obstructive pulmonary disease (28% increased risk), ST elevation myocardial infarction at presentation (21% increased risk), and hypertension (16% increased risk).
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Dr Gho said: "Previous research looking at all cause heart failure, not only after myocardial infarction, has found similar risk factors. Our large cohort study confirms that these are also risky conditions for heart attack patients in the current era."
He concluded: "Identifying these prognostic factors in heart attack patients could help us predict their risk of developing heart failure and allow us to give treatments to reduce that risk."
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