Management of Myocardial Infarction

Stephen R. Yarnall, MD
JAMA. 1973;225(7):749-750. doi:10.1001/jama.1973.03220340053028.
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To the Editor.—  The data presented by Wenger et al on current physician practice in management of patients with uncomplicated myocardial infarctions (224:511, 1973) are largely confirmed by the data in our ongoing prospective case registry involving 53 of 96 licensed Washington hospitals and a case volume of over 7,700 per year admitted to special cardiac care units for all causes.There appears to be a significant difference in the median length of total hospital stay that is reported as 21 days in the Wenger paper and is found to be 17 days in our study, including a mean stay in the cardiac care units of 6.6 days (with definite infarcts).I would like to comment on standard exercise tests following uncomplicated myocardial infarction. Though we agree with the authors that clinical judgment has limitations in assessing cardiac function and that standardized exercise tests are useful, we would also like


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