| Mortality trends in the coronary care unit. | |
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MedLine Citation:
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PMID: 2327719 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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To evaluate the clinical features, complication rates, and mortality from infarction in the coronary care unit, we analysed all cases of acute myocardial infarction admitted to the Coronary Care Unit of the Singapore General Hospital over a 4 month period in 1988. There were 184 cases of acute infarction with a male:female ratio of 3.4:1. Fifty-five percent of patients were aged 60 years or above. Complications included congestive cardiac failure in 40%, sustained ventricular tachycardia in 9%, cardiogenic shock in 18% and complete heart block in 8%. The overall in-hospital mortality was 20.6%. Multiple logistic regression analysis of clinical variables showed that of the clinical variables, age (elderly patients) and the diabetes were independently associated with a higher mortality as well as development of cardiogenic shock and sustained ventricular tachycardia. Comparing our results with previous smaller studies of CCU outcome in 1975 and 1967, there was a marked increase in the proportion of elderly patients in 1988 but despite this the overall mortality rate was not significantly different. Age is the most important clinical variable predicting outcome from infarction. |
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Authors:
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T S Chua; C C Koo; A T Tan; C K Ho |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Annals of the Academy of Medicine, Singapore Volume: 19 ISSN: 0304-4602 ISO Abbreviation: Ann. Acad. Med. Singap. Publication Date: 1990 Jan |
Date Detail:
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Created Date: 1990-05-15 Completed Date: 1990-05-15 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7503289 Medline TA: Ann Acad Med Singapore Country: SINGAPORE |
Other Details:
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Languages: eng Pagination: 3-8 Citation Subset: IM |
Affiliation:
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Department of Cardiology, Singapore General Hospital. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Age Factors Aged Arrhythmias, Cardiac / mortality Cause of Death Coronary Care Units / trends* Female Heart Failure / mortality Humans Male Middle Aged Myocardial Infarction / complications, mortality* Shock, Cardiogenic / mortality Singapore / epidemiology Survival Rate |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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