[Clinical case and review of the subject. Prognosis in acute myocardial infarction].
Aiming to discuss the value of the prognostic indices in the acute myocardial infarction (AMI), we present two cases of AMI, where the predictable prognosis at 48 hours of the onset of symptoms is informed by the outcome of each case. In the first one, a patient in cardiogenic shock had a good evolution because he suffered a biventricular infarction that responsed well to hydric overcharge. The other case, a Killip classe I infarction, was complicated by a late left ventricular free wall rupture. We discuss the several aspects of each case, and finally we do a critical aproach of the most common prognostic indices (Killip and Kimbal classes, Peel prognostic groups and Norris prognostic groups).
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UTIC-Arsérnio Cordeiro, Hospital de Santa Maria, Lisboa.
Soares-Costa
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JT
Ribeiro
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D006342:Heart Rupture, Post-Infarction; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000401:mortality / Q000503:physiopathology; D011379:Prognosis
Caso clínico e revisão do tema. Prognóstico no enfarte agudo do miocárdio.