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Cardiovasc. Med."],"abstract":"<jats:p>Background: This investigation aimed to examine the association between subjective health perception and mortality risk in individuals diagnosed with non-ST-segment elevation myocardial infarction (NSTEMI). Methods: This study conducted a multicenter retrospective analysis of 29,465 patients with NSTEMI from 82 tertiary and secondary hospitals in Tianjin, China (2010\u20132023). Patients were stratified into self-rated health (SRH)-satisfied (n = 28,835) and SRH-dissatisfied (n = 630) cohorts based on self-reported health assessments. Propensity score matching (1:3 ratio) was used to balance baseline characteristics, yielding a final sample of 2514 patients. The primary outcome was all-cause mortality over a median follow-up of 1477 days. Multivariable Cox regression was used to identify predictors of mortality, and Kaplan-Meier analysis was performed to compare survival between groups. Results: The SRH-dissatisfied cohort exhibited advanced age, reduced percutaneous coronary intervention (PCI) utilization, and greater comorbidity burden (diabetes, hypertension, chronic kidney disease, cerebrovascular\/peripheral vascular disease, chronic lung disease; p &lt; 0.05). This group demonstrated significantly elevated mortality (adjusted Hazard Ratio [aHR] = 1.29, 95% confidence interval [CI]: 1.16\u20131.44; p &lt; 0.001). No between-group differences were observed for secondary endpoints: nonfatal myocardial infarction (MI), cardiac death, ischemic stroke, or revascularization. Subgroup analyses stratified by age, sex, and comorbidity status confirmed the consistency of the results. Conclusions: Self-rated health independently predicts mortality risk in patients with NSTEMI.<\/jats:p>","DOI":"10.31083\/rcm47517","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T10:31:43Z","timestamp":1785407503000},"source":"Crossref","is-referenced-by-count":0,"title":["Self-Rated Health as an Independent Predictor of All-Cause Mortality in Patients With Non-ST-Segment Elevation Myocardial Infarction"],"prefix":"10.31083","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-0673-8723","authenticated-orcid":true,"given":"Shan","family":"Cao","sequence":"first","affiliation":[{"name":"Tianjin Key Laboratory of Ionic-Molecular Function of Cardiovascular Disease, Department of Cardiology, Tianjin Institute of Cardiology, The Second Hospital of Tianjin Medical University, 300211 Tianjin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8200-4093","authenticated-orcid":true,"given":"Tianshu","family":"Gu","sequence":"additional","affiliation":[{"name":"Tianjin Key Laboratory of Ionic-Molecular Function of Cardiovascular Disease, Department of Cardiology, Tianjin Institute of Cardiology, The Second Hospital of Tianjin Medical University, 300211 Tianjin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-6852-8538","authenticated-orcid":true,"given":"Sutao","family":"Hu","sequence":"additional","affiliation":[{"name":"Tianjin Key Laboratory of Ionic-Molecular Function of Cardiovascular Disease, Department of Cardiology, Tianjin Institute of Cardiology, The Second Hospital of Tianjin Medical University, 300211 Tianjin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0464-0058","authenticated-orcid":true,"given":"Junyu","family":"Liu","sequence":"additional","affiliation":[{"name":"Tianjin Key Laboratory of Ionic-Molecular Function of Cardiovascular Disease, Department of Cardiology, Tianjin Institute of Cardiology, The Second Hospital of Tianjin Medical University, 300211 Tianjin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7004-6835","authenticated-orcid":true,"given":"Tong","family":"Liu","sequence":"additional","affiliation":[{"name":"Tianjin Key Laboratory of Ionic-Molecular Function of Cardiovascular Disease, Department of Cardiology, Tianjin Institute of Cardiology, The Second Hospital of Tianjin Medical University, 300211 Tianjin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7056-6438","authenticated-orcid":true,"given":"Kangyin","family":"Chen","sequence":"additional","affiliation":[{"name":"Tianjin Key Laboratory of Ionic-Molecular Function of Cardiovascular Disease, Department of Cardiology, Tianjin Institute of Cardiology, The Second Hospital of Tianjin Medical University, 300211 Tianjin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"16242","published-online":{"date-parts":[[2026,7,20]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Vaduganathan M, Mensah GA, Turco JV, Fuster V, Roth GA. 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Mortality After Non-ST-Segment Elevation Myocardial Infarction: Impact of Left Ventricular Function and Coronary Artery Disease. JACC. Advances. 2025; 4: 102155.","DOI":"10.1016\/j.jacadv.2025.102155"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Erbay \u0130, Alada\u011f P. The Hemoglobin, Albumin, Lymphocyte, and Platelet Score as a Simple Blood-Based Predictor of Residual Coronary Disease Burden in Diabetic Patients with Non-ST-Elevation Myocardial Infarction. Turk Kardiyoloji Dernegi Arsivi. 2025; 53: 483\u2013491.","DOI":"10.5543\/tkda.2025.71080"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Latham K, Peek CW. Self-rated health and morbidity onset among late midlife U.S. adults. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences. 2013; 68: 107\u2013116.","DOI":"10.1093\/geronb\/gbs104"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Mavaddat N, Valderas JM, van der Linde R, Khaw KT, Kinmonth AL. 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