Document Detail


Prognostic factors in acute myocardial infarction.
MedLine Citation:
PMID:  918792     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The hospital courses of 882 consecutive patients with acute myocardial infarction admitted to the coronary care unit (CCU) during a 3-year period were evaluated. Their courses after discharge from the CCU were assessed with reference to the following serious complications which had occurred during their stay in the CCU; ventricular tachycardia or fibrillation, second-or third-degree heart block, pulmonary oedema, cardiogenic shock persistent sinus tachycardia, persistent hypotension, atrial flutter or fibrillation, or extension, or extension of infarction. Of the 494 patients (56%) with one or more of these complications, 38 (8%) died of cardiac causes in hospital after transfer from the CCU. Of 388 patients (44%) in the uncomplicated group, only 2(0,5%) died of cardiac causes after transfer from the CCU. The same patients were classified according to the Coronary Prognostic Index (CPI) of Norris. None of the 54% of patients with a CPI of less than 6 units died in hospital after transfer from the CCU. It is proposed that patients with a CPI of less than 6 units and with none of the listed serious complications during their CCU stay could safely be discharged from hospital earlier than is customary.
Authors:
B M Kennelly; B Margolis
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde     Volume:  52     ISSN:  0256-9574     ISO Abbreviation:  S. Afr. Med. J.     Publication Date:  1977 Sep 
Date Detail:
Created Date:  1977-12-29     Completed Date:  1977-12-29     Revised Date:  2014-09-12    
Medline Journal Info:
Nlm Unique ID:  0404520     Medline TA:  S Afr Med J     Country:  SOUTH AFRICA    
Other Details:
Languages:  eng     Pagination:  511-4     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Coronary Care Units
Follow-Up Studies
Humans
Length of Stay
Myocardial Infarction / complications,  diagnosis,  mortality*
Patient Discharge
Prognosis
Risk
South Africa

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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