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(Circulation. 1960;21:1107.)
© 1960 American Heart Association, Inc.

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Impending Myocardial Infarction

Recognition and Management

R. E. BEAMISH M.D., F.R.C.P. (C)¹ V. MARIE STORRIE M.D.¹

¹ From the Department of Medicine, University of Manitoba and the Department of Cardiology, Manitoba Clinic, Winnipeg, Canada.

Coronary occlusion with myocardial infarction is a common condition with a high mortality. The mechanism of coronary occlusion in such cases is not always clear, but thrombosis, either directly or indirectly, is a dominant process.

In many instances premonitory symptoms give warning that myocardial infarction is threatening. It is suggested that these symptoms form a recognizable pattern which permits recognition of impending myocardial infarction with a high degree of accuracy. Three common presentations are described.

Frequency of diagnosis of impending infarction may be increased by a program of patient education.

Frompt administration of anticoagulants appears to influence the outcome favorably, particularly in the first few days or weeks of symptoms.

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