Document Detail

The relationship of myocardial infarct size and prognosis.
MedLine Citation:
PMID:  1253347     Owner:  NLM     Status:  MEDLINE    
Patients with cardiogenic shock were arbitrarily divided into groups, those in whom shock appeared within 6 hours after the onset of acute infarction and those in whom the symptoms appeared more than 6 hours after the onset of acute infarction. The patients with more rapidly developing shock had larger areas of necrosis (average 48%) than the slow-onset group (average 28%). The former group had more sites of total occlusion of the epicardial arteries (3.5 vs 1.6) than the slow-onset group. By postmortem X-ray examination less collateral flow was visible in the rapid-onset shock patients than the slow-onset ones. These observations suggest that slow-onset shock is more likely to respond to presently available therapeutic interventions than the cases with rapid-onset shock.
J B Caulfield; R Leinbach; H Gold
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Circulation     Volume:  53     ISSN:  0009-7322     ISO Abbreviation:  Circulation     Publication Date:  1976 Mar 
Date Detail:
Created Date:  1976-05-25     Completed Date:  1976-05-25     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0147763     Medline TA:  Circulation     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  I141-4     Citation Subset:  AIM; IM    
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MeSH Terms
Coronary Vessels / pathology
Heart Ventricles / pathology
Myocardium / pathology*
Shock, Cardiogenic / complications

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