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    The prognosis of anterior myocardial infarction revisited: a community-wide study

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    Authors
    Kennedy, Harold L.
    Goldberg, Robert J.
    Szklo, Moyses
    Tonascia, James A.
    UMass Chan Affiliations
    Department of Medicine, Division of Cardiovascular Medicine
    Document Type
    Journal Article
    Publication Date
    1979-12-01
    Keywords
    Follow-Up Studies
    Hospitalization
    Humans
    Longitudinal Studies
    Male
    Maryland
    Middle Aged
    Myocardial Infarction
    Prognosis
    Bioinformatics
    Biostatistics
    Epidemiology
    Health Services Research
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    Link to Full Text
    http://dx.doi.org/10.1002/clc.4960020612
    Abstract
    A study was carried out in metropolitan Baltimore in which the short- and long-term prognosis of 655 patients with anterior myocardial infarction (MI) was compared with that of 520 patients with inferior/posterior MI. The study was performed on a community-wide basis in two time periods before the clinical introduction and widespread use of beta-blockade therapy. After simultaneous adjustment for several socio-demographic and clinical variables, the in-hospital case fatality rate was greater for patients with anterior (27.5%) than for those with inferior/posterior MI (22.9%) (p less than 0.05). Similarly, for those discharged alive from the hospital and followed up for as long as 10 years, patients with infarction of the anterior wall had a significantly poorer long-term survival than that of patients with infarction of the inferior/posterior wall (p less than 0.05). These results suggest that closer surveillance should be directed at patients with anterior myocardial infarction, both during the acute phase and after hospital discharge.
    Source
    Clin Cardiol. 1979 Dec;2(6):455-60.
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/47039
    PubMed ID
    544114
    Related Resources
    Link to Article in PubMed
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    Population and Quantitative Health Sciences Publications

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