Myocardial infarction in the 1990s. Complications, prognosis, and changing patterns of management.
Arrhythmias are the most common complications of acute myocardial infarction. However, other complications, such as ventricular free-wall rupture, thrombosis in locations other than the primary site of infarction, and thromboembolic strokes, also may occur. In addition, thrombolytic therapy given after infarction may cause intracranial hemorrhage, allergic reactions, and hypotension. To reduce the 1-year mortality rate in patients who survive hospitalization, an effort should be made to detect and treat residual ischemia, ventricular dysfunction, and electrical instability. Follow-up rehabilitation and prevention are essential. In this endeavor, primary care physicians, emergency personnel, specialists, nursing staff, and technicians form an integral team.
Fowles
R E
RE
Salt Lake Clinic, UT 84102, USA.
D002170:Canada / Q000453:epidemiology; D006801:Humans; D009203:Myocardial Infarction / Q000150:complications / Q000401:mortality / Q000534:rehabilitation / Q000628:therapy; D011379:Prognosis; D015912:Thrombolytic Therapy / Q000009:adverse effects; D014481:United States / Q000453:epidemiology