PMID: 6404481Apr 30, 1983Paper

Five hundred patients with myocardial infarction monitored within one hour of symptoms

British Medical Journal
M O'DohertyD A Chamberlain

Abstract

Of 2886 patients monitored during acute myocardial infarction, 500 were observed within one hour of the onset of symptoms. Half of the early admission group were admitted in response to emergency 999 calls and 435 of them travelled in resuscitation ambulances, where surveillance for arrhythmias was instituted. Pulmonary oedema occurred in 130 patients (26%), cardiogenic shock supervened in 60 (12%), and 115 (23%) died in hospital. Ventricular fibrillation was observed in 98 patients (20%). Forty two of them survived to be discharged, including 20 of the 24 with primary fibrillation which had occurred first in hospital. In only one case did primary ventricular fibrillation occur after the first 10 hours of onset of illness. Sinus bradycardia, atrial fibrillation, ventricular tachycardia, and ventricular fibrillation were all observed more frequently in patients admitted within one hour after the onset of symptoms than in those admitted later. An element of selection is inevitable when early admission is encouraged by the existence of a resuscitation ambulance system; this will depend in part on the early recognition of risk and the geographical location of the attack. These factors may bias the group towards relatively high risk...Continue Reading

References

Sep 4, 1971·Lancet·A A AdgeyJ F Pantridge
Jun 14, 1969·Lancet·A A AdgeyS A Zaidi
Sep 22, 1973·British Medical Journal·N M WhiteD A Chamberlain
Jan 1, 1972·British Heart Journal·A ArmstrongS L Morrison
Mar 8, 1971·JAMA : the Journal of the American Medical Association·T Gordon, W B Kannel
Jan 15, 1970·The New England Journal of Medicine·J D BagdadeD Porte
Sep 1, 1970·Chest·J F Pantridge
Jun 21, 1980·British Medical Journal·Y K LauD A Chamberlain
Mar 14, 1963·The New England Journal of Medicine·C R BAINTON, D R PETERSON

❮ Previous
Next ❯

Citations

Sep 1, 2005·Der Anaesthesist·J-H SchiffB W Böttiger
Aug 1, 1995·International Journal of Cardiology·R MoreD Chamberlain
Feb 1, 1986·Lancet·H S RasmussenS Balslev
Jun 1, 1985·Journal of the American College of Cardiology·B Surawicz
Aug 1, 1987·Journal of the American College of Cardiology·B Surawicz
Jan 15, 2000·Journal of the American College of Cardiology·P J GheeraertF Zijlstra
Aug 28, 2012·European Heart Journal·UNKNOWN Task Force on the management of ST-segment elevation acute myocardial infarction of the European Society of Cardiology (ESC)Doron Zahger
Jul 11, 1998·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·S M SchneiderN F Leahey
Feb 25, 1984·British Medical Journal·R VincentD A Chamberlain
Mar 10, 1984·British Medical Journal·T Smith
Jan 12, 1985·British Medical Journal·S M Cobbe
Jul 1, 1994·British Heart Journal·E D Grech, D R Ramsdale
Aug 27, 2013·Heart & Lung : the Journal of Critical Care·Catherine WinklerBarbara J Drew
Jun 10, 2011·Journal of Molecular and Cellular Cardiology·Ryuji TsuburayaHiroaki Shimokawa
Jul 1, 1990·The American Journal of Cardiology·G V JensenA Pedersen
Sep 3, 2004·The American Journal of Cardiology·Milford G WymanJ Michael Criley
Dec 3, 2005·Resuscitation·Hans-Richard ArntzUNKNOWN European Resuscitation Council
Oct 4, 2005·Emergency Medicine Clinics of North America·Andrew D Perron, Timothy Sweeney
May 26, 2001·Emergency Medicine Clinics of North America·D A Wald
Oct 1, 1988·Annals of Emergency Medicine·N C DeanP J Hawker
Aug 30, 2008·The American Journal of Medicine·Jonathan P PicciniDavid L Brown
Jan 31, 2014·Circulation Journal : Official Journal of the Japanese Circulation Society·Hideki IshiiToyoaki Murohara
Feb 1, 1994·The Annals of Pharmacotherapy·E M HamptonR Whang
Sep 28, 2007·Pacing and Clinical Electrophysiology : PACE·Haitham HreybeSamir Saba
Sep 18, 1998·Emergency Medicine Clinics of North America·T P Aufderheide
Jan 5, 2002·British Medical Bulletin·A V Ghuran, A J Camm

❮ Previous
Next ❯

Related Concepts

Related Feeds

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Atrial Filbrillation

Atrial fibrillation refers to the abnormal heart rhythm characterized by rapid and irregular beating of the atria. Here is the latest research.

Bradyarrhythmias

Bradyarrhythmias are slow heart rates. Symptoms may include syncope, dizziness, fatigure, shortness of breath, and chest pains. Find the latest research on bradyarrhythmias here.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Cardiogenic Shock

Cardiogenic shock is a devastating consequence of acute myocardial infarction and is associated with an extremely high mortality. Here is the latest research.