Document Detail

The high risk patient after recovery from myocardial infarction: recognition and management.
MedLine Citation:
PMID:  6826949     Owner:  NLM     Status:  MEDLINE    
Patients at high risk for recurrent myocardial infarction or death can be identified after recovery from an acute myocardial infarction. Predictors of high risk at the time of initial hospital discharge may vary in different localities depending on the underlying baseline characteristics of the patient cohort. The medical records were analyzed of 139 patients discharged from San Francisco General Hospital after recovery from an acute myocardial infarction between July 1978 and September 1981. Multivariate stepwise discriminant analysis of 20 variables contributing to sudden and total death identified complex ventricular ectopic rhythm as the most important variable, followed by age. Failure to receive chronic long-acting nitrates was an independent variable contributing to total mortality but not to sudden death, while the presence of an initial anterior myocardial infarction and impaired left ventricular function were independent variables contributing to sudden death but not to total mortality. Routine 24 hour ambulatory monitoring, radionuclide ventriculography and submaximal stress tests performed during the second week after recovery from an acute myocardial infarction provide identification of a high risk cohort for subsequent recurrent myocardial infarction or death and permit appropriate interventions designed to lessen risk to be undertaken.
E Rapaport; P Remedios
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the American College of Cardiology     Volume:  1     ISSN:  0735-1097     ISO Abbreviation:  J. Am. Coll. Cardiol.     Publication Date:  1983 Feb 
Date Detail:
Created Date:  1983-04-07     Completed Date:  1983-04-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8301365     Medline TA:  J Am Coll Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  391-400     Citation Subset:  IM    
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MeSH Terms
Death, Sudden
Exercise Test
Middle Aged
Myocardial Infarction / diagnosis*,  mortality,  therapy

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