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Prognostic significance of location and type of myocardial infarction: Independent adverse outcome associated with anterior location by Peter H Stone; Daniel S Raabe; Allan S Jaffe; Nancy Gustafson; James E Muller; Zoltan G Turi; John D Rutherford; W.Kenneth Poole; Eugene Passamani; James T Willerson; Burton E Sobel; Thomas Robertson; Eugene Braunwald is a Medicine article available to read on EtoBox.
What is Prognostic significance of location and type of myocardial infarction: Independent adverse outcome associated with anterior location about?
To determine the relative prognostic significance of location (anterior or inferior) and type (Q wave or non-Q wave) of infarction, the hospital course and follow-up outcome (mean duration 30.8 months) of 471 patients with a first infarction were analyzed. Analyses were performed grouping the patients according to infarct location (anterior, n = 253; inferior, n = 218), infarct type (Q wave, n = 323; non-Q wave, n = 148), and both location and type (inferior non-Q wave, n = 85; inferior Q wave, n = 133; anterior non-Q wave, n = 63; and anterior Q wave, n = 190). Patients with anterior infarction had a substantially worse in-hospital and follow-up clinical course compared with those with inferior infarction, evidenced by a larger infarct size (21.2 versus 14.9 g Eq/m2 creatine kinase, MB fraction [MB CK], p less than 0.001), lower admission left ventricular ejection fraction (38.1 versus 55.3%, p less than 0.001) and higher incidence of heart failure (40.7 versus 14.7%, p less than 0.001), serious ventricular ectopic activity (70.2 versus 58.9%, p less than 0.05), in-hospital death (11.9 versus 2.8%, p less than 0.001) and total cumulative cardiac mortality (27 versus 11%, p less th
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- Author
- Peter H Stone; Daniel S Raabe; Allan S Jaffe; Nancy Gustafson; James E Muller; Zoltan G Turi; John D Rutherford; W.Kenneth Poole; Eugene Passamani; James T Willerson; Burton E Sobel; Thomas Robertson; Eugene Braunwald
- Published
- 1988
- Language
- EN
- Field
- Medicine (Health Sciences)