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Experience With 1,246 Patients

M. Mirowski, MD; Warren Israel, MD; Agis G. Antonopoulos, MD; Morton M. Mower, MD; Albert I. Mendeloff, MD

Arch Intern Med. 1978;138(2):210-215.

Abstract
The hospital mortality in 1,246 consecutive acute myocardial infarction patients treated in a large community hospital coronary care unit was 14.4%. Of the total, 52.3% showed no evidence of heart failure, 25.8% had mild to moderate failure, 9.9% had pulmonary edema, and 12% developed cardiogenic shock; the mortality in these groups was 2.2%, 7.4%, 8.9%, and 87.2%, respectively. The mortality in the 1,097 patients who did not have cardiogenic shock was 4.5%. Only one patient died as a result of primary ventricular fibrillation (0.08%). The mortality of complete heart block in the absence of cardiogenic shock (8.3%) was not significantly different from that of comparable patients who did not have complete heart block (4.3%). These results are lower than those generally reported.

(Arch Intern Med 138:210-215, 1978)

Author Affiliations
From the Department of Medicine, Sinai Hospital of Baltimore (Drs Mirowski, Israel, Antonopoulos, Mower, and Mendeloff) and the Departments of Medicine (Drs Mower and Mendeloff) and Pediatrics (Dr Mirowski), Johns Hopkins University School of Medicine, Baltimore.

Footnotes
Accepted for publication Dec 3, 1976.

Reprint requests to Department of Medicine, Sinai Hospital of Baltimore, Baltimore, MD 21215 (Dr Mirowski).

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