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June 17, 1974, Vol 228, No. 12 >
ARTICLE | June 17, 1974

Prognosis in Coronary Care Unit Noninfarction Cases FREE

Mario G. Lopes, MD; Alfred P. Spivack, MD; Donald C. Harrison, MD; John S. Schroeder, MD
[+] Author Affiliations

Reprint requests to Cardiology Division, Stanford University School of Medicine, 300 Pasteur Dr, Stanford, CA 94305 (Dr. Schroeder).


JAMA. 1974;228(12):1558-1562. doi:10.1001/jama.1974.03230370040021
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References

An average 17.9-month follow-up was obtained on 169 patients with chest pain who were admitted to the Stanford University Hospital coronary care unit to rule out a myocardial infarction. Criteria for study included electrocardiographic ST-T abnormalities in the absence of infarction as evidenced by lack of new Q waves or serial enzyme determinations.

A high incidence of subsequent cardiac death following discharge from the coronary care unit was noted, with 4.2% one-month, 10.1% one-year, and 19.7% two-year mortality with 43% of the deaths occurring suddenly. More aggressive evaluation, treatment, and follow-up is indicated in this patient group.

(JAMA 228:1558-1562, 1974)

REFERENCES

1 +
Weinblatt E, et al:  Prognosis of men after first myocardial infarction: Mortality and first recurrence in relation to selected parameters . Am J Public Health 58:1329-1347, 1968;.
2 +
Kannel WB, Feinleib M:  Natural history of angina pectoris in the Framingham study: Prognosis and survival . Am J Cardiol 29:154-163, 1972;.
3 +
Krauss KR, Mutter AU Jr, Desanctis RW:  Acute coronary insufficiency: Course and follow-up . Arch Intern Med 129:808-813, 1972;.
4 +
Segal BL, et al:  Saphenous vein bypass surgery for impending myocardial infarction: Clinical evaluation and current concepts . JAMA 223:767-772, 1973;.
5 +
Miller DC, et al:  Saphenous vein coronary artery bypass in patients with preinfarction angina . Circulation 47:234-241, 1973;.
6 +
Wood P:  Acute and subacute coronary insufficiency . Br Med J 1:1779-1782, 1961;.
7 +
Resnik WH:  The significance of prolonged anginal pain (preinfarction angina) . Am Heart J 63:290-297, 1962;.
8 +
Levy H:  The natural history of changing patterns of angina pectoris . Ann Intern Med 44:1123-1135, 1956;.
9 +
Vakil RM:  Preinfarctional syndrome: Management and follow-up . Am J Cardiol 14:55-64, 1964;.
10 +
Gazes PC, et al:  Preinfarction angina: Prospective study: Ten-year follow-up , abstracted. Circulation 46( (suppl 2) ):23, 1972;.
11 +
Watkins PC, Russell RO Jr, Rackley CE:  Follow-up study of unstable angina in a myocardial infarction research unit , abstracted. Circulation 46( (suppl 2) ):23, 1972;.
12 +
Fulton M, et al:  Natural history of unstable angina . Lancet 1:860-865, 1972;.
13 +
Friesinger GC, Page EE, Ross RS:  Prognostic significance of coronary arteriography . Trans Assn Am Physicians 93:78-92, 1970;.
14 +
Oberman A, et al:  Natural history of coronary artery disease . Bull NY Acad Med 48:1109-1125, 1972;.
15 +
Bemiller CR, Pepine CJ, Rogers AK:  Long-term observations in patients with angina and normal coronary arteriograms . Circulation 47:36-43, 1973;.
16 +
Scanlon PJ, et al:  Accelerated angina pectoris: Clinical, hemodynamic, arteriographic, and therapeutic experience in 85 patients . Circulation 47:19-26, 1973;.

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1 +
Weinblatt E, et al:  Prognosis of men after first myocardial infarction: Mortality and first recurrence in relation to selected parameters . Am J Public Health 58:1329-1347, 1968;.
2 +
Kannel WB, Feinleib M:  Natural history of angina pectoris in the Framingham study: Prognosis and survival . Am J Cardiol 29:154-163, 1972;.
3 +
Krauss KR, Mutter AU Jr, Desanctis RW:  Acute coronary insufficiency: Course and follow-up . Arch Intern Med 129:808-813, 1972;.
4 +
Segal BL, et al:  Saphenous vein bypass surgery for impending myocardial infarction: Clinical evaluation and current concepts . JAMA 223:767-772, 1973;.
5 +
Miller DC, et al:  Saphenous vein coronary artery bypass in patients with preinfarction angina . Circulation 47:234-241, 1973;.
6 +
Wood P:  Acute and subacute coronary insufficiency . Br Med J 1:1779-1782, 1961;.
7 +
Resnik WH:  The significance of prolonged anginal pain (preinfarction angina) . Am Heart J 63:290-297, 1962;.
8 +
Levy H:  The natural history of changing patterns of angina pectoris . Ann Intern Med 44:1123-1135, 1956;.
9 +
Vakil RM:  Preinfarctional syndrome: Management and follow-up . Am J Cardiol 14:55-64, 1964;.
10 +
Gazes PC, et al:  Preinfarction angina: Prospective study: Ten-year follow-up , abstracted. Circulation 46( (suppl 2) ):23, 1972;.
11 +
Watkins PC, Russell RO Jr, Rackley CE:  Follow-up study of unstable angina in a myocardial infarction research unit , abstracted. Circulation 46( (suppl 2) ):23, 1972;.
12 +
Fulton M, et al:  Natural history of unstable angina . Lancet 1:860-865, 1972;.
13 +
Friesinger GC, Page EE, Ross RS:  Prognostic significance of coronary arteriography . Trans Assn Am Physicians 93:78-92, 1970;.
14 +
Oberman A, et al:  Natural history of coronary artery disease . Bull NY Acad Med 48:1109-1125, 1972;.
15 +
Bemiller CR, Pepine CJ, Rogers AK:  Long-term observations in patients with angina and normal coronary arteriograms . Circulation 47:36-43, 1973;.
16 +
Scanlon PJ, et al:  Accelerated angina pectoris: Clinical, hemodynamic, arteriographic, and therapeutic experience in 85 patients . Circulation 47:19-26, 1973;.

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