Treatment of myocardial infarction in a community hospital coronary care unit. Experience with 1,246 patients.
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.
D000208:Acute Disease; D000328:Adult; D000368:Aged; D003325:Coronary Care Units; D003422:Critical Care; D005260:Female; D006327:Heart Block / Q000150:complications; D006764:Hospitals, Community; D006801:Humans; D008297:Male; D008396:Maryland; D008875:Middle Aged; D008991:Monitoring, Physiologic / Q000379:methods; D009203:Myocardial Infarction / Q000150:complications / Q000401:mortality / Q000628:therapy*; D011654:Pulmonary Edema / Q000150:complications; D012770:Shock, Cardiogenic / Q000150:complications