[The prognosis of fatal outcome in the late period after myocardial infarct].
A method for life prediction within 2 nearest years after myocardial infarction has been designed. For this purpose altogether 922 men who suffered myocardial infarction were examined. The examination included collection of the disease history data, delineation of the characteristics of the patient's status 6 weeks after M1, and performance during that period of the standard bicycle ergometry test. The deciding rule of prediction has been developed. The rule is based on the mathematic discrimination and the use of the so-called "sign blocks" including not only the clinically significant signs such as myocardial infarction in the anamnesis, disability before MI, the signs of heart failure and the grave functional class 6 weeks after MI but also little significant signs (left ventricle hypertrophy, the mean exercise tolerance (up to 600 kgm/min), and so forth), which acquire the prognostic weight when combined with other signs. This deciding rule of prediction with the use of exclusively accessible information turned out to be reliable during work, making it possible to stratify the patients into groups with the practically 100-percent survival up to the high risk of lethality exceeding the mean death rate 4-5-fold. The rule can be applied to public health practices during the use of the "sign blocks" tables.
Aronov
D M
DM
Nikolaeva
L F
LF
Mikheeva
T G
TG
Muchnis
I B
IB
Novikov
S G
SG
D000328:Adult; D000368:Aged; D004562:Electrocardiography; D005080:Exercise Test; D005500:Follow-Up Studies; D006801:Humans; D015993:Life Tables; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000401:mortality*; D011379:Prognosis; D013997:Time Factors; D014586:USSR
Prognozirovanie letal'nykh iskhodov v otdalennom periode posle infarkta miokarda.