FURTHER OBSERVATIONS CONCERNING THE PROGNOSIS OF MYOCARDIAL INFARCTION DUE TO CORONARY THROMBOSIS

Publisher Website
Google Scholar
Abstract
A further analysis of 200 cases of myocardial infarction due to coronary thrombosis, seen during the decade from 1921-30, confirmed previous conclusions concerning the one most important clue to a good prognosis on recovery from the immediate attack. This clue consists of the absence of any cardiac symptoms, in particular dyspnea and angina pectoris, after convalescence has been well established, that is, after the first month. This analysis has concentrated in particular on the 90 patients seen within the first month of their illness. In this series there were no milk cases and doubtless many of the patients were inadequately treated in those days before the recognition of the need of absolute rest for the first few weeks and before the introduction of anticoagulants. Of the 24 cases seen during the first month who recovered and showed neither myocardial nor coronary insufficiency, 18 (75%) survived five years while the average of all 24 cases was 12 years. The longest survivoi, still living, had his attack a little over 30 years ago. Undoubtedly in the future prognosis will be more favorable because of the recognition of mild cases, the better treatment and program after recovery, and the more satisfactory understanding and cooperation of the patient.

This publication has 1 reference indexed in Scilit: