Title

The prognosis of anterior myocardial infarction revisited: a community-wide study

UMMS Affiliation

Department of Medicine, Division of Cardiovascular Medicine

Date

12-1-1979

Document Type

Article

Medical Subject Headings

Follow-Up Studies; Hospitalization; Humans; Longitudinal Studies; Male; Maryland; Middle Aged; Myocardial Infarction; Prognosis

Disciplines

Bioinformatics | Biostatistics | Epidemiology | Health Services Research

Abstract

A study was carried out in metropolitan Baltimore in which the short- and long-term prognosis of 655 patients with anterior myocardial infarction (MI) was compared with that of 520 patients with inferior/posterior MI. The study was performed on a community-wide basis in two time periods before the clinical introduction and widespread use of beta-blockade therapy. After simultaneous adjustment for several socio-demographic and clinical variables, the in-hospital case fatality rate was greater for patients with anterior (27.5%) than for those with inferior/posterior MI (22.9%) (p less than 0.05). Similarly, for those discharged alive from the hospital and followed up for as long as 10 years, patients with infarction of the anterior wall had a significantly poorer long-term survival than that of patients with infarction of the inferior/posterior wall (p less than 0.05). These results suggest that closer surveillance should be directed at patients with anterior myocardial infarction, both during the acute phase and after hospital discharge.

Rights and Permissions

Citation: Clin Cardiol. 1979 Dec;2(6):455-60.

Related Resources

Link to Article in PubMed