The prognosis of anterior myocardial infarction revisited: A community‐wide study

H. L. Kennedy, R. J. Goldberg, M. Szklo, J. A. Tonascia

Research output: Contribution to journalArticlepeer-review


A study was carried out in metropolitan Baltimore in which the short‐ and long‐term prognosis of 655 patients with anterior myocardial infarction (MI) was compared with that of 520 patients with inferior/posterior MI. The study was performed on a community‐wide basis in two time periods before the clinical introduction and widespread use of beta‐blockade therapy. After simultaneous adjustment for several socio‐demographic and clinical variables, the in‐hospital case fatality rate was greater for patients with anterior (27.5%) than for those with inferior/posterior MI (22.9%) (p<0.05). Similarly, for those discharged alive from the hospital and followed up for as long as 10 years, patients with infarction of the anterior wall had a significantly poorer long‐term survival than that of patients with infarction of the inferior/posterior wall (p<0.05). These results suggest that closer surveillance should be directed at patients with anterior myocardial infarction, both during the acute phase and after hospital discharge.

Original languageEnglish (US)
Pages (from-to)455-460
Number of pages6
JournalClinical Cardiology
Issue number6
StatePublished - Dec 1979


  • anterior myocardial infarction
  • community‐wide study
  • prognosis

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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