Prognosis After Hospitalization with Chest Pain or Myocardial Infarction



In the late 1960s and early 1970s, a decline in coronary heart disease mortality was noted in different parts of the world. This downward trend has since continued in North America, Belgium, Finland, Israel, Japan, Australia, and New Zealand [1–3], and data from Australia suggest that it is evident in all age groups [4]. In contrast, in most eastern European countries, Russia, and Sweden, death rates from coronary heart disease are increasing.


Ejection Fraction Acute Myocardial Infarction Coronary Care Unit Coronary Heart Disease Mortality Acute Infarction 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Reader R: Incidence and prevalence of ischaemic heart disease in Australia. Med J Aust (Special Suppl) 2: 3–9, 1972.PubMedGoogle Scholar
  2. 2.
    Stern MP: The recent decline in ischemic heart disease mortality. Ann Intern Med 91: 630–640, 1979.PubMedGoogle Scholar
  3. 3.
    Pisa Z, Uemura K: Mortality from IHD and CVD and its trends in 27 countries in 1968-1977. WHO Statistics Quarterly 35: 11–47, 1982.Google Scholar
  4. 4.
    Dobson AJ, Gibberd RW, Wheeler DJ, Leeder SR: Age-specific trends in mortality from ischemic heart disease and cerebrovascular disease in Australia. Am J Epidemiol 113: 404–412, 1981.PubMedGoogle Scholar
  5. 5.
    Connelly DC, Oxman HA, Nobrega FT, Kurland LT, Kennedy MA, Elveback LR: Coronary heart disease in residents of Rochester, Minnesota, 1950–1975. I. Background and study design. Mayo Clin Proc 56: 661–664, 1981.Google Scholar
  6. 6.
    Elveback LR, Connelly DC, Kurland LT: Coronary heart disease in residents of Rochester, Minnesota, 1950–1975. II. Mortality, incidence, and survivorship. Mayo Clin Proc 56: 665–672, 1981.PubMedGoogle Scholar
  7. 7.
    Hampton JR: Editorial: Falling mortality in coronary heart disease. Br Med J 284: 1505–1506, 1982.CrossRefGoogle Scholar
  8. 8.
    Schroeder JS, Lamb IH, Hu M: Do patients in whom myocardial infarction has been ruled out have a better prognosis after hospitalization than those surviving infarction? N Engl J Med. 303: 1–5, 1980.PubMedCrossRefGoogle Scholar
  9. 9.
    Kyst-Madsen J, Fischer Hansen J: The prognosis for patients admitted to a coronary care unit due to suspected acute myocardial infarction with and without confirmed diagnosis. Acta Med Scand 211: 453–457, 1982.PubMedCrossRefGoogle Scholar
  10. 10.
    Norris RM, Brandt PWT, Caughey DE, Lee AJ, Scott PJ: A new coronary prognostic index. Lancet. 1: 274–278, 1969.PubMedCrossRefGoogle Scholar
  11. 11.
    Norris RM, Brandt PWT, Lee AJ: Mortality in a coronary care unit analysed by new coronary prognostic index. Lancet 1:278, 1969.Google Scholar
  12. 12.
    Norris RM, Caughey DE, Deeming LW, Mercer CJ, Scott PJ: Coronary prognostic index for predicting survival after recovery from acute myocardial infarction. Lancet 2: 485–488, 1970.PubMedCrossRefGoogle Scholar
  13. 13.
    Norris RM, Caughey DE, Mercer CJ, Scott PJ: Prognosis after myocardial infarction: six year follow up. Br Heart J 36: 786–790, 1974.PubMedCrossRefGoogle Scholar
  14. 14.
    Merrilees MA, Scott PJ, Norris RM: Prognosis after myocardial infarction. Results of 15 year follow up. Br Med J 288: 356–359, 1984.CrossRefGoogle Scholar
  15. 15.
    Peel AAF, Semple T, Wang I, Lancaster WM, Dall JLG: A coronary prognostic index for grading the seventy of infarction. Br Heart J 24: 745–760, 1962.PubMedCrossRefGoogle Scholar
  16. 16.
    Killip T, Kimball JT: Treatment of myocardial infarction in a coronary care unit. A two year experience with 250 patients. Am J Cardiol 20: 457–464, 1967.PubMedCrossRefGoogle Scholar
  17. 17.
    Luria MH, Knoke JD, Wachs JS, Luria MA: Survival after recovery from acute myocardial infarction. Two and five year prognostic indices. Am J Med 67: 7–14, 1979.PubMedCrossRefGoogle Scholar
  18. 18.
    Bigger JT, Haller CA, Wenger TL, Weld FM: Risk stratification after acute myocardial infarction. Am J Cardiol 42: 202–210, 1978.PubMedCrossRefGoogle Scholar
  19. 19.
    Moss AJ, DeCamilla J, Davis H, Bayer L: The early post-hospital phase of myocardial infarction. Prognostic stratification. Circulation 54: 58–64, 1976.PubMedGoogle Scholar
  20. 20.
    Kitchin AH, Pocock SJ: Prognosis of patients with acute myocardial infarction admitted to a coronary care unit. II. Survival after hospital discharge. Br Heart J 39: 1167–1171, 1977.PubMedCrossRefGoogle Scholar
  21. 21.
    The Multicenter Postinfarction Research Group: Risk stratification and survival after myocardial infarction. N Engl J Med 309: 331–336, 1983.CrossRefGoogle Scholar
  22. 22.
    Moss AJ, DeCamilla JJ, Davis HB, Bayer L: Clinical significance of ventricular ectopic beats in the early post-hospital phase of myocardial infarction. Am] Cardiol 39: 635–640, 1977.CrossRefGoogle Scholar
  23. 23.
    Abraham RD, Roubin GS, Harris PJ, Bernstein L, Kelly DT: Coronary and left ventricular angiographic anatomy and prognosis of survivors of first acute myocardial infarction. Am J Cardiol 52: 257–260, 1983.PubMedCrossRefGoogle Scholar
  24. 24.
    Norris RM, Barnaby PF, Brandt PWT, Geary GG, Whitlock RML, Wilde CJ, Barratt-Boyes BG: Prognosis after recovery from first acute myocardial infarction: Determinants of reinfarc-tion and sudden death. Am J Cardiol 53: 408–413, 1984.PubMedCrossRefGoogle Scholar
  25. 25.
    Sanz G, Castaner A, Betriu A, Magrina J, Roig E, Coll S, Pare JC, Navarro-Lopez F: Determinants of prognosis in survivors of myocardial infarction. A prospective clinical angiographic study. N Engl J Med 306: 1065–1070, 1982.PubMedCrossRefGoogle Scholar
  26. 26.
    Taylor GJ, Humphries JD, Mellits ED, Pitt B, Schulze RA, Griffith LSC, Achuff SC: Predictors of clinical course, coronary anatomy and left ventricular function after recovery from acute myocardial infarction. Circulation 62: 960–970, 1980.PubMedGoogle Scholar
  27. 27.
    Holman BL, Chisholm RJ, Braunwald E: The prognostic implications of acute myocardial in-farct scintigraphy with 99mTc-pyrophosphate. Circulation 57: 320–326, 1978.PubMedGoogle Scholar
  28. 28.
    Ahmad M, Logan KW, Martin RH: Doughnut pattern of technetium-99m pyrophosphate myocardial uptake in patients with acute myocardial infarction: A sign of poor long-term prognosis. Am J Cardiol 44: 13–17, 1979.PubMedCrossRefGoogle Scholar
  29. 29.
    Olson HG, Lyons KP, Aronow WS, Kuperus J, Orlando J, Hughes D: Prognostic value of persistently positive technetium-99m stannous pyrophosphate myocardial infarction: A sign of poor long-term prognosis. Am J Cardiol 43: 889–898, 1979.PubMedCrossRefGoogle Scholar
  30. 30.
    Holman BL, Goldhaber SZ, Kirsch C-M, Polak JF, Friedman BJ, English RJ, Wynne J: Measurement of infarct size using single photon emission computed tomography and technetium-99m pyrophosphate: A description of the method and comparison with patient prognosis. Am J Cardiol 50: 503–511, 1982.PubMedCrossRefGoogle Scholar
  31. 31.
    Woo KS, Norris RM: Bundle branch block after myocardial infarction — a long term follow up. Aust NZ J Med 9: 411–416, 1979.CrossRefGoogle Scholar
  32. 32.
    Hauer RN, Lie KI, Liem KL, Durrer D: Long term prognosis in patients with bundle branch block complicating acute anteroseptal infarction. Am J Cardiol 49: 1581–1585, 1982.PubMedCrossRefGoogle Scholar
  33. 33.
    Bailey BP, Hunt D, Vohora JK, Sloman JG: The prognostic value of the HV interval in patients with acute myocardial infarction and bundle branch block. Aust NZ J Med 8: 366–371, 1978.CrossRefGoogle Scholar
  34. 34.
    Weinblatt E, Ruberman W, Goldberg JD, Frank CW, Shapiro S, Chaudhary BS: Relation of education to sudden death after myocardial infarction. N Engl J Med 299: 60–65, 1978.PubMedCrossRefGoogle Scholar
  35. 35.
    Ruberman W, Weinblatt E, Goldberg JD, Chaudhary BS: Psychosocial influences on mortality after myocardial infarction. N Engl ] Med 311: 552–559, 1984.CrossRefGoogle Scholar
  36. 36.
    Coronary Artery Surgery Study (CASS): A randomized trial of coronary artery bypass surgery. Survival data. Circulation 68: 939–950, 1983.CrossRefGoogle Scholar
  37. 37.
    Norris RM, Agnew TM, Brandt PWT, Graham KJ, Hill DG, Kerr AR, Lowe JB, Roche AHG, Whitlock RML, Barratt-Boyes BG: Coronary artery surgery after recurrent myocardial infarction: Progress of a trial comparing surgical with nonsurgical management for asymptomatic patients with advanced coronary disease. Circulation 63: 785–792, 1981.PubMedCrossRefGoogle Scholar

Copyright information

© Martinus Nijhoff Publishing, Boston. 1986

Authors and Affiliations

  1. 1.Cardiovascular DivisionBrigham and Women’s HospitalBostonUSA
  2. 2.CardiologistGreen Lane HospitalAucklandNew Zealand

Personalised recommendations