+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

The high risk patient after recovery from myocardial infarction: recognition and management

, : The high risk patient after recovery from myocardial infarction: recognition and management. Journal of the American College of Cardiology 1(2 Pt 1): 391-400

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.


PMID: 6826949

Other references

Nishizono Yukihisa; Sato Toru; Murata Masafumi, 1997: A revised Jurassic radiolarian zonation for the South Belt of the Chichibu Terrane, western Kyushu, southwestern Japan. Permian, Triassic and Jurassic sedimentary and volcaniclastic rocks are distributed in the South Belt of the Chichibu terrane. Unfortunately, they are not part of a sequence but are disordered masses of mappable units. Several sequences of Jurassi...

Pelli Noble, R.F.; Nofal, P., 1997: Association of multiple sclerosis and syringohydromyelia Longitudinal follow-up of two cases. Journal of the Neurological Sciences 150(SUPPL ): S251

Pasek, V., 1954: P. tremulae, a new pest of 'Canadian' Poplar.. Describes the outbreak of this pest on Populus canadensis Moench P. deltoides Marsch near Banska Stiavnica in Slovakia during 1951-53. KEYWORDS: Aphids \ insect pests \ Populus 'canadensis' euramericana aggr.

Richards, M.L., 1969: Rook taking food from dustbin. British Birds, 62: 497

Kuliev, R.A.; Babaev, R.F.; Fattaev, M.D.; Alekperova, N.V., 1991: The effect of the physical factors of treatment on lipid peroxidation in surgical infections in patients with diabetes mellitus. Lipid peroxidation was studied in 179 patients with purulent surgical diseases and diabetes mellitus. Magnetotherapy, laser radiation, low-frequency ultrasound, ultraviolet irradiation of blood, and sorbent application were used as therapeutic fac...

Bruckman J.E., 1969: Excretion of electrolytes in palmar sweat and saliva from the paratoid and submaxillary glands of the rhesus monkey macaca mulatta. Texas Reports on Biology & Medicine 27(3): 911

Helder, T.S.inen, W., 1985: Standardization and application of an E.L.S.-bioassay for PCDDs and PCDFs. An early life stage bioassay (E.L.S.-bioassay) for the determination of polychlorinated dibenzo-p-dioxins and dibenzofurans in complex matrices has been developed. The bioassay is based upon mortality, resulting from a typical toxicopathological s...

Das, M.Kanti.; Roy, H., 2008: A retrospective study of lateralised transverse cosmetic incision appendicectomy. In the present study 105 patients underwent appendicectomy by lateralised transverse cosmetic incision over a period from January, 2005 to September, 2007. Six patients developed complications like wound infection and fever. Wound infection was ma...

Meyer, P.A.; Staley, F.; Staley, P.; Curtis, J.; Blanton, C.; Brown, M.Jean., 2005: Improving strategies to prevent childhood lead poisoning using local data. Lead poisoning remains an important, yet entirely preventable, disease among children worldwide. Children's blood lead levels (BLLs) have been declining in the USA; however, nearly half a million children have BLLs >=10 micro g/dl, the lev...

Simpson, R.M.; Zhao, T.M.; Hubbard, B.S.; Sawasdikosol, S.; Kindt, T.J., 1996: Experimental acute adult T cell leukemia-lymphoma is associated with thymic atrophy in human T cell leukemia virus type I infection. Human T cell leukemia virus type I (HTLV-I) infection may lead to an acutely fatal adult T cell leukemia-lymphoma (ATLL), but HTLV-I-infected people usually remain asymptomatic. Why only certain HTLV-I infections lead to acute ATLL, which is chara...