LONG-TERM SURVIVAL AFTER MYOCARDIAL-INFARCTION AS RELATED TO EARLY COMPLICATIONS

  • 1 January 1977
    • journal article
    • research article
    • Vol. 6  (1) , 41-51
Abstract
The material consists of 404 hospitalized patients with their first AMI [acute myocardial infarction]. After an observation time of 1 and 5 yr, respectively, the mortality was 27 and 45%, against an expected mortality of 3 and 17% in a corresponding normal population. The annual mortality rate was 5.5% from 1 to 3 yr after the acute infarction, against an expected 3.5%. Three to five years after the occurrence of the infarction the observed and expected annual mortality rates were 3.5%. In patients alive 1 mo. after the acute attack congestive heart failure (CHF), left bundle branch block (LBBB) or secondary ventricular fibrillation (VF) during the acute phase gave a lower long-term survival, as compared to patients without CHF, intraventricular block of VF, respectively. Left anterior hemiblock, complete atrioventricular block following inferior infarction or primary VF had no influence on the long-term prognosis.

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