[The hospital course of patients with acute myocardial infarction after discharge from the coronary unit].
The in-hospital clinical course of 100 patients discharged from the CCU with a Acute Myocardial Infarction (AMI) were studied at the Instituto Nacional de Cardiología "Ignacio Chávez" 86 were men and 14 women, the age in the majority was between 50 and 80 years. The diaphragmatic necrosis was predominant. 11 patients had angina pectoris after the infarction, five cardiac failure, 4 a new AMI and 5 died (5%). Coronary angiography was performed in 35 patients, and treadmill test at 63. The treadmill test results had a good correlation with the angiographic findings. Coronary bypass grafts surgery was performed in 18 patients, 17 had good evolution, without post surgery angina or cardiac failure. One died at the OR. 3 pts more had PTCA, two in the AD and one a circumflex incomplete dilatation. All 3 were discharged asymptomatic. Four patients had another AMI, two died with cardiogenic shock, and two good clinical course, including one who had AMI after had graft surgery. Five pts died. Two with another AMI, one at the OR and two had a sudden death. One of these had previous cardiac failure and PVC. It is concluded that: patients with a new AMI and cardiac failure have poor prognosis. The coronary graft surgery has great therapeutic value in pts with angina post AMI. The treadmill test has a good correlation with the coronary damage found at angiography.
Hurtado
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Instituto Nacional de Cardiología, Ignacio Chávez, INCICH, Juan Badiano No. 1. Tlalpan, Méxiso, D.F.
Troyo
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D000368:Aged; D000787:Angina Pectoris / Q000209:etiology; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003325:Coronary Care Units; D005080:Exercise Test; D005260:Female; D006801:Humans; D007297:Inpatients; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000601:surgery / Q000628:therapy*; D011379:Prognosis
Evolución en el hospital del enfermo con infarto agudo del miocardio después de su alta de la unidad coronaria.