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Freifeld A G - - 1983
Although "nontransmural" and "transmural" are morphologic terms used widely to distinguish patients with myocardial infarction, controversy exists as to their meaning regarding clinical course. For this study, a transmural infarct was defined as one that involves essentially the full thickness of the ventricular wall, and nontransmural was defined as something ...
Wolffenbuttel B H - - 1983
In order to assess the value of haemodynamic monitoring in the coronary care unit for long term prognosis after recovery of an acute myocardial infarction, the records of two groups of consecutive patients were reviewed retrospectively. From 254 patients, 32 (13%) died in the hospital and nine patients had to ...
Ratcliffe P J - - 1983
Ninety-four patients who underwent left ventricular aneurysmectomy between 1971 and 1980 are reviewed. In thirty-four cases this operation was combined with myocardial revascularisation. The overall hospital mortality was 6% with a five-year survival of 72% +/- 6%. Symptomatology dominated by dyspnoea, a raised left ventricular end diastolic pressure (L.V.E.D.P.) and ...
Welin L - - 1983
Among 1809 patients with myocardial infarction, 60 (3.3%) later developed a postmyocardial infarction syndrome. These 60 patients were compared with controls with myocardial infarction but without postmyocardial infarction syndrome. Cases with postmyocardial infarction syndrome had larger and more complicated infarcts than control subjects. Five year cumulative mortality was higher among ...
Soman M - - 1983
Kawasaki disease is an acute, multisystem illness that predominantly affects young children and has been described throughout the world. The triphasic course includes an initial phase of acute illness marked by high fever, conjunctival injection, oral changes, and erythematous rash. The second, subacute, phase begins with a decline of the ...
Chandra V - - 1983
A nonconcurrent prospective study was conducted in the metropolitan Baltimore, Maryland, area to examine the influence of marital status on the in-hospital and long-term survival rate of 1401 patients who experienced an acute myocardial infarction. Patients were classified as "married" or "unmarried" at the time of their myocardial infarction and ...
Rasmussen S L - - 1983
The effect of long-term treatment with alprenolol on left ventricular function was investigated in a controlled double-blind study of 15 patients with ischaemic heart disease (alprenolol 6, placebo 9), by measurement of systolic time intervals (STI). Significant prolongation of QS2I was observed in patients treated with alprenolol (p less than ...
Kastor J A - - 1983
Ventricular premature beats (VPBs) are the most common cardiac arrhythmia. Simple VPBs have one form. Complex VPBs are repetitive, bigeminal, frequent, have different forms, or occur in the T wave of the previous beat. VPBs are seen frequently in patients with normal hearts, coronary artery disease, and mitral valve prolapse. ...
Bussmann W D - - 1983
Nitroglycerin and nitrates have long been contraindicated in the treatment of acute myocardial infarction. Beneficial effects, however, are reported in patients with left ventricular failure. In this report the available data from the literature are reviewed with respect to the influence of the drug on myocardial ischemia, infarct size and ...
Miah K - - 1983
Neurological assessments were done regularly during hospitalization in 283 consecutive patients (mean age 73 yr) with acute cerebrovascular disease treated at the Stroke Unit of Serafimerlasarettet. A preplanned investigation program and strict criteria for diagnosis and treatment were followed. Hospital mortality was 18%. Patients with a major cerebral infarction or ...
DeBusk R F - - 1982
The capacity of cardiac patients to work in their occupations reflects a complex interaction of medical and nonmedical factors. Medical considerations include prognosis and the ability of patients to tolerate the physical, environmental and psychological aspects of their occupation. Nonmedical factors include the patient's satisfaction with the job, economic motivation ...
Taylor S H - - 1982
We carried out a randomized double-blind controlled secondary-prevention trial of oxprenolol over seven years. Forty milligrams of oxprenolol or placebo was given twice daily to 1103 men 35 to 65 years old who had an acute myocardial infarction between 1 and 90 months previously. Overall, there was no difference in ...
Bonow R O - - 1982
Left ventricular systolic function is an important determinant of long-term prognosis in patients with chronic aortic regurgitation. Data from several centers, using invasive and noninvasive assessment of left ventricular function, indicate that long-term postoperative survival is excellent, even in symptomatic patients, if preoperative left ventricular systolic function is normal. The ...
Baughman K L - - 1982
Long-term follow-up was obtained on 138 patients who participated in a prospective, randomized study comparing two weeks with three weeks of hospitalization following uncomplicated acute myocardial infarction. Follow-up information was available on 123 (89%) of all randomized patients. The mean follow-up period was 35 months for those patients who died ...
Weinblatt E - - 1982
Two earlier studies of prognosis of coronary heart disease among men enrolled in the Health Insurance Plan in the 1960s and 1970s permitted us to examine whether prognosis had improved over this ten-year period. The new comparison involved 1,133 men aged 35 to 64 years who had survived a first ...
Friesinger G C - - 1982
The last 20 years have provided an extraordinary amount of data contributing to an improved understanding of the prognosis of chronic ischemic heart disease. However, much remains incompletely understood. The lack of more precise knowledge about prognosis encourages fuzzy clinical thinking and seems to justify the overutilization of a variety ...
Shapiro L M - - 1982
The mortality and morbidity of 150 young (less than 45 years) survivors of myocardial infarction was studied prospectively over a 10-year period. Thirty-seven deaths (36 due to coronary artery disease) occurred from one month to 10 years after myocardial infarction and the cumulative 10-year mortality was 27 per cent compared ...
Martinotti R - - 1982
The authors have explored the early modifications of systolic time intervals in 90 patients hospitalized as emergency cases for acute myocardial infarction. From analysis and interpretation of the collected data they conclude that such modifications have considerable prognostic value. All patients fitting the specifications of NYHA classes I and II, ...
Hutter A M AM - - 1981
The hospital and long-term course of 67 patients with nontransmural myocardial infarction was compared with that of 66 patients with transmural anterior and 63 patients with transmural inferior infarction matched for age, sex, previous infarction and prior congestive heart failure. During their hospital stay, patients with nontransmural infarction had significantly ...
Pathy M S - - 1981
Seventy-five consecutive patients discharged from a geriatric medical ward after a proven myocardial infarction and still alive at three months were followed for three years. Twenty-two died. Sixty-five patients replied to a postal questionnaire designed to assess their degree of psychological impairment and disability sent at the end of the ...
Jordaan P C - - 1981
A baseline survey to determine the existing knowledge, attitudes and customs concerning different aspects of nutrition was conducted among adults in the south-western Cape Province. This was the first phase in a long-term research project launched with a view to developing a nutritional guidance programme in order to combat the ...
Singer D E - - 1981
Because it is difficult to predict the course in a patient recovering from acute myocardial infarction who is stable enough to leave the coronary-care unit (CCU), we studied such patients in order to identify those at risk of complications. Over two years of study, 485 of 536 consecutive patients admitted ...
Cintron G B - - 1981
To evaluate the incidence, clinical characteristics and course of right ventricular infarction, 96 patients with an established diagnosis of acute myocardial infarction were evaluated during a 10 month study period. Of the 44 patients with acute inferior wall myocardial infarction, 16 had bedside evidence of right ventricular dysfunction. All had ...
Lengyel M - - 1981
A follow-up study was carried out in 98 patients with congestive cardiomyopathy using clinical data and M-mode echocardiography. 59 patients survived (mean follow-up period 18 months), 39 patients died (mean survival period 12.6 months). Median survival time was 3 years. Prognosis was unfavorably affected by ECG signs (left bundle branch ...
Storstein O - - 1981
Seven hundred and ninety-five consecutive patients with the diagnosis of angina pectoris were studied by coronary angiography and followed for 2-7 years. The prognosis is greatly determined by the extent of coronary artery involvement. Concomitant mitral insufficiency or ventricular aneurysm influence the prognosis adversely. There was no significant difference in ...
Julian D G - - 1981
Numerous variables have been identified as having prognostic value after infarction. The significance of each of these depends both on the time after the event when the observation is made and the length of follow-up. Although much prognostic information has been published, its validity is difficult to establish because the ...
Samek L - - 1981
In a follow-up study (mean = 3.6 years) of 555 men under 40 years of age (mean = 35.7 years) who had recently suffered transmural myocardial infarction, 44 patients (7.9%) suffered cardiac death with an annual rate of 2.2%. In a bivariate analysis a significant correlation was found between cardiac ...
Haffajee C I - - 1980
Oral tocainide was used as a long-term antiarrhythmic in patients with symptomatic high-grade ventricular ectopic activity refractory to conventional antiarrhythmic agents. Eleven of the 22 patients had a previous myocardial infarction (three patients had a ventricular aneurysm). Unacceptable side effects precluded long-term use of tocainide in two patients. Long-term tocainide ...
Luria M H - - 1980
Long-term prognosis following recovery from acute myocardial infarction is related to the extent of myocardial impairment. This is reflected in a variety of clinical laboratory, and electrocardiographic variables which are often routinely obtained during the hospital course of a patient with acute myocardial infarction. When these factors are utilized to ...
Lupovitch A - - 1980
For cases of myocardial infarction, the laboratory must provide data to help clarify diagnosis, determine prognosis, follow the course of healing, and even quantitate the injury. An interpretive report of sequential enzyme studies performed on samples obtained during the first 48 hours after the admission of patients who had myocardial ...
Howland J S - - 1980
In a retrospective, five-year follow-up study of 224 patients treated for acute myocardial infarction in a community hospital, there was an 82 percent in-hospital survival rate and an overall 57 percent five-year survival rate. Corrected for expected mortality, the five-year survival rate was 68 percent. Patients who had had a ...
Boxall J - - 1980
This report compares the past history, hospital course and follow-up of 70 patients with nontransmural myocardial infarction compared to 259 patients with transmural myocardial infarction. The pre-infarction history in the two groups is similar with respect to angina and infarction. The hospital course for non-transmural myocardial infarction is not a ...
Poehlman J H - - 1980
The clinical characteristics, electrocardiographic changes, and long-term prognosis were studied in 50 patients suffering nontransmural myocardial infarctions. It is concluded that nontransmural myocardial infarcts tend to occur in older patients with known coronary atherosclerosis and these infarctions are frequently preceded by a period of unstable angina. The clinical course is ...
Pohjola S - - 1980
This study deals with the five-year survival of 728 myocardial infarction patients who survived the first 28 days after the onset of symptoms. The series was collected by the Helsinki Coronary Register and includes all cases of acute myocardial infarction in the population who were under 66 years of age ...
Satiani B - - 1980
One hundred and twenty-two patients with 135 arterial emboli, 31 of whom had had a recent myocardial infarction, were seen during a 12 year period. Six patients died after embolectomy, resulting in a 19 per cent in-hospital mortality, and in five patients, amputation was required. The median time from infarction ...
Thanavaro S - - 1980
We studied the in-hospital mortality and morbidity of 745 patients who had suffered a first myocardial infarction. One hundred twenty-four patients (16.6%) had nontransmural infarction and 621 (83.4%) had transmural infarction. Both groups of patients were similar in the distribution of age, sex, and coronary risk factors. Patients with nontransmural ...
Domenighetti G - - 1980
Short- and long-term prognosis were analysed in 59 patients admitted in the coronary care unit with an acute myocardial infarction, complicated with acute intraventricular (IV) conduction defects. In-hospital mortality of patients with IV conduction disturbances was more than twice (30%) the mortality of patients without IV conduction defects (13%; P ...
Campbell R W - - 1979
Concepts of the incidence, significance and prognosis of almost all cardiac arrhythmias during acute myocardial infarction have changed greatly in the last 15 years. In some cities facilities are available to reach patients in the very earliest phases of ischaemia or infarction. As previously suspected but now confirmed, ventricular fibrillation ...
Pacy H - - 1979
Twenty to sixty per cent of myocardial infarctions go unrecognized by patient and doctor, and there is no way to exactly predict these at the moment. But they have a much lower long-term mortality rate than do clinical infarctions. As a rule, a myocardial infarction will be preceded by pain ...
Salerno T A - - 1979
In a prospective analysis of 36 biopsies from human hearts performed at the time of elective coronary operation, several morphological changes were identified in the myocardium. Some of these changes (fibrosis, vacuolation, edema, and amyloid deposition) are of clinical signficance and may affect the long-term prognosis for patients undergoing revascularization ...
Chatterjee K - - 1979
Cautious administration of vasocilator agents with careful hemodynamic monitoring may improve cardiac function in many patients with severe pump failure and cardiogenic shock complicating myocardial infarction. However, the immediate prognosis tends to improve only in a specific subset of patients, that is, those with left ventricular stroke work index above ...
Kannel W B - - 1979
During 20 years of follow-up of 5,127 men and women initially free of coronary heart disease in the Framingham cohort, 193 men and 53 women had one or more recognized, symptomatic myocardial infarctions. An additional 45 men and 28 women had unrecognized myocardial infarctions. Subsequent mortality and morbidity including angina, ...
Warren S E - - 1979
Sixty-eight survivors of myocardial infarction occurring before the age of 36 years were studied using selective coronary cinearteriograms, regardless of symptoms. Three groups of patients were delineated; 56 patients (82 percent) had obstructive coronary arterial disease, nine (13 percent) had normal coronary arteries, and three (4 percent) had congenital coronary ...
Karimian H O - - 1979
An analysis of 80 patients who had elective coronary arteriography within 6 months after hospital dismissal for acute myocardial infarction showed that approximately two-thirds had multivessel coronary disease. The study is consistent with others reported in the recent literature in suggesting that most patients who survive myocardial infarction have multivessel ...
Szklo M - - 1978
A population-based study was conducted in metropolitan Baltimore in which the short- and long-term prognosis of 283 patients with nontransmural myocardial infarction was compared with that of 953 patients with transmural infraction. After simultaneous adjustment for several variables, the in-hospital case fatality rate was greater for patients with transmural (30.1 ...
Banner M P - - 1978
Vasoseminal vesiculography was performed on 69 asymptomatic men. Considerable variability in the appearance of the normal adult seminal tract was seen. On the left, the normal seminal vesicle averaged 5.6 cm long, 2.0 cm wide, and 0.6 cm in luminal diameter; on the right, it averaged 5.0 cm long, 2.0 ...
Khan A H - - 1978
Apexcardiograms and hemodynamic studies were performed in 32 postmyocardial infarction patients. Group 1 patients (5) had markedly elevated left ventricular end diastolic (LVED) pressures but normal LVED volumes; apexcardiograms included tall A waves (31 percent of the E to O points), prolonged A-wave durations of 134 msec or greater, short ...
Hickie J B - - 1978
Deaths from coronary heart disease and myocardial infarct may occur in previously undiagnosed subjects (the so called pre-hospital phase), in hospital following admission to a coronary care unit, or following discharge. Mortality in the pre-hospital phase has been estimated at 35--40 per cent. Within Australia the mortality in the coronary ...
de Soyza N - - 1978
The long-term prognosis of paroxysmal ventricular tachycardia (PVT) complicating acute myocardial infarction remains unevaluated. Significant ventricular arrhythmia in the patient after infarction is said to carry a poor prognosis with regard to survival. To evaluate these two important aspects of myocardial infarction in man, 56 patients with documented myocardial infarction ...
Peter T - - 1978
The prognostic implications of a past history of ischaemic heart disease, site of infarction, ectopic ventricular dysrhythmias (ventricular premature beats (VPB) more than one in 10 sinus beats, and/or ventricular tachycardia (VT), ventricular fibrillation (VF), atrioventricular blocks (AVB), bundle branch blocks (BBB)) and the occurrence of electrical and/or mechanical complications ...
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