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The Scarred Heart
Mortality Rates for Myocardial Infarction in the Absence of Modern Therapy
Arch Intern Med. 2002;162:2411-2412.
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Every one must go to his grave with his heart scarred like a soldier's body.—Sydney Smith, 1771-1845
ISCHEMIC HEART disease is now the number one cause of death in the world. Sudden death and myocardial infarction (MI) account for a large percentage of the deaths that result from ischemic heart disease. Tremendous efforts have been made during the past 25 years to develop effective therapeutic interventions for patients with acute MI (AMI). These endeavors have met with success: a variety of highly effective therapies, such as thrombolysis,  -adrenergic blocking agents, angiotensin-converting enzyme inhibition, and antithrombotic therapy, has been shown to decrease morbidity and mortality rates in patients with AMI.
Conventional wisdom holds that in-hospital mortality for AMI was as high as 30% to 50% before the modern era of aggressive interventional therapy. During this earlier era, therapy for AMI consisted of 3 to 6 weeks of strict bed rest . . . [Full Text of this Article] MORTALITY RATES FOR AMI FROM AN EARLIER ERA VS VALUES OBTAINED MORE RECENTLY
WHAT FACTORS AFFECT CASE-FATALITY RATES FOR PATIENTS WITH AMI?
CONCLUSIONS
RELATED ARTICLE
The Underlying Risk of Death After Myocardial Infarction in the Absence of Treatment
Malcolm R. Law, Hilary C. Watt, and Nicholas J. Wald
Arch Intern Med. 2002;162(21):2405-2410.
ABSTRACT
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