Aliberti et al identified risk factors for acute myocardial infarction or other cardiovascular events in a patient with community-acquired pneumonia (CAP). The presence of a cardiac complication may worsen outcome. The authors re from multiple institutions in Italy.
Patient selection: community-acquired pneumonia with age >= 18 years
Outcome: acute myocardial infarction (AMI), other cardiovascular event (acute cardiogenic pulmonary edema, cardiac arrhythmia, pulmonary embolism, cerebrovascular accident)
Risk factors for acute myocardial infarction:
(1) female sex (odds ratio 2.7)
(2) severe sepsis (odds ratio 4.3)
(3) liver disease (odds ratio 5.8)
Risk factors for other cardiovascular events:
(1) female sex (odds ratio 1.8)
(2) age > 65 years (odds ratio 2.9)
(3) pleural effusion (odds ratio 1.6)
(4) neurological disease (odds ratio 1.6)
