Document Detail

Treatment of myocardial infarction in a community hospital coronary care unit. Experience with 1,246 patients.
MedLine Citation:
PMID:  626550     Owner:  NLM     Status:  MEDLINE    
The hospital mortality in 1,246 consecutive acute myocardial infarction patients treated in a large community hospital coronary care unit was 14.4%. Of the total, 52.3% showed no evidence of heart failure, 25.8% had mild to moderate failure, 9.9% had pulmonary edema, and 12% developed cardiogenic shock; the mortality in these groups was 2.2%, 7.4%, 8.9%, and 87.2%, respectively. The mortalitiy in the 1,097 patints who did not have cardiogenic shock was 4.5%. Only one patient died as a result of primary ventricular fibrillation (0.08%). The mortality of complete heart block in the absence of cardiogenic shock (8.3%) was not significantly different from that of comparable patients who did not have complete heart block (4.3%). These results are lower than those generally reported.
M Mirowski; W Israel; A G Antonopoulos; M M Mower; A I Mendeloff
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Archives of internal medicine     Volume:  138     ISSN:  0003-9926     ISO Abbreviation:  Arch. Intern. Med.     Publication Date:  1978 Feb 
Date Detail:
Created Date:  1978-04-17     Completed Date:  1978-04-17     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0372440     Medline TA:  Arch Intern Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  210-5     Citation Subset:  AIM; IM    
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MeSH Terms
Acute Disease
Coronary Care Units*
Critical Care*
Heart Block / complications
Hospitals, Community
Middle Aged
Monitoring, Physiologic / methods
Myocardial Infarction / complications,  mortality,  therapy*
Pulmonary Edema / complications
Shock, Cardiogenic / complications

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

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