Acute Myocardial Infarction: Prognosis Complicated by Ventricular Fibrillation or Cardiac Arrest

Robert Goldberg, Moyses Szklo, James A. Tonascia, Harold L. Kennedy

Research output: Contribution to journalArticlepeer-review

31 Scopus citations

Abstract

A community-wide study was conducted in metropolitan Baltimore in which the prognosis of 330 patients hospitalized with an acute myocardial infarction (MI) complicated by ventricular fibrillation or cardiac arrest (VFib/CA) was compared with that of 1,071 patients hospitalized with acute MI not complicated by VFib/CA. As expected, the in-hospital case-fatality rate among patients with MI complicated by VFib/CA was significantly higher than that in patients without VFib/CA. However, for patients discharged alive from the hospital, no significant differences in long-term survival were found between patients with MI with or without VFib/CA. These results suggest that attempts at preventing subsequent mortality should be diligently pursued in patients with MI who are discharged alive from the hospital regardless of the occurrence of VFib/CA in the acute phase.

Original languageEnglish (US)
Pages (from-to)2024-2027
Number of pages4
JournalJAMA: The Journal of the American Medical Association
Volume241
Issue number19
DOIs
StatePublished - May 11 1979

ASJC Scopus subject areas

  • General Medicine

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