Circulation, Vol 54, 58-64, Copyright © 1976 by American Heart Association
AJ Moss, J DeCamilla, H Davis and L Bayer
Prognostic stratification was carried out on 518 patients less than or
equal to 65 years of age who were discharged from the hospital following a
definite or probable acute myocardial infarction and followed for four
months. The total population was made up of 272 patients hospitalzed in
1973 and 246 patients hospitalized in 1974; one hundred and forty-two
variables were collected on each patient. The clinical characteristics of
the 1973 and 1974 populations were remarkably similar, and both groups had
a four-month posthospital cardiac mortality rate of 4%. Two prognostic
stratification schemes were developed on the 1973 population which
identified low and high risk groups with meaningfully different four-month
cardiac death rates. Both stratification schemes were tested on the 1974
population, and one of the two schemes was validated as identifying a
significantly increased cardiac mortality rate in the high as opposed to
the low risk group. The four-month posthospital cardiac mortality rate was
3% in the low and 14% in the high risk group (Z = 2.70, P less than 0.003).
The high risk group was characterized by two or more of the following
characteristics: 1) history of angina at ordinary levels of activity or at
rest; 2) CCU hypotension and/or congestive heart failure; 3) ventricular
premature beat frequency greater than or equal to 20/hr on a six-hour
electrocardiographic tape recording. The low risk group had none or only
one of the above characteristcis. The prognostic power of this
stratification scheme is such that sixteen percent of the posthospital
population can be identified as high risk, and this subgroup contains
forty-six percent of the patients who die of cardiac cause in the
four-month posthospital interval.
ARTICLES
The early posthospital phase of myocardial infarction. Prognostic stratification
This article has been cited by other articles:
![]() |
J. C. Nicolau, C. V. Serrano Jr., S. A.C. Garzon, and J. A.F. Ramires Prognosis of acute myocardial infarction in the thrombolytic era: medical evaluation is still valuable Eur J Heart Fail, October 1, 2001; 3(5): 569 - 576. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. L. Lee, L. H. Woodlief, E. J. Topol, W. D. Weaver, A. Betriu, J. Col, M. Simoons, P. Aylward, F. Van de Werf, and R. M. Califf Predictors of 30-Day Mortality in the Era of Reperfusion for Acute Myocardial Infarction : Results From an International Trial of 41 021 Patients Circulation, March 15, 1995; 91(6): 1659 - 1668. [Abstract] [Full Text] |
||||
![]() |
R. J. Krone The Role of Risk Stratification in the Early Management of a Myocardial Infarction Ann Intern Med, February 1, 1992; 116(3): 223 - 237. [Abstract] [PDF] |
||||
![]() |
M. H. Luria, S. M. Debanne, and M. I. Osman Long-term Follow-up After Recovery From Acute Myocardial Infarction: Observations on Survival, Ventricular Arrhythmias, and Sudden Death Arch Intern Med, September 1, 1985; 145(9): 1592 - 1595. [Abstract] [PDF] |
||||
![]() |
J. C. Somberg, B. Butler, V. Torres, D. Tepper, G. Keren, L. Siegel, J. Jentzer, and D. S. Miura Therapy for Late Post Infarction Ventricular Tachycardia Angiology, March 1, 1985; 36(3): 181 - 190. [Abstract] [PDF] |
||||
![]() |
M. J. Zema Prognosis After Myocardial Infarction- Prediction in Ambulatory Patients by Use of the Bedside Valsalva Maneuver Angiology, February 1, 1985; 36(2): 96 - 104. [Abstract] [PDF] |
||||
![]() |
D. B. Baron, J. R. Licht, and M. H. Ellestad Status of Exercise Stress Testing After Myocardial Infarction Arch Intern Med, March 1, 1984; 144(3): 595 - 601. [Abstract] [PDF] |
||||
![]() |
D. B. PRYOR, M. C. HINDMAN, G. S. WAGNER, R. M. CALIFF, M. K. RHOADS, and R. A. ROSATI Early Discharge After Acute Myocardial Infarction Ann Intern Med, October 1, 1983; 99(4): 528 - 538. [Abstract] [PDF] |
||||
![]() |
A. Skoulas, R. G. Alloo, M. H. Weisbart, and M. A. Manelis Duration of Hospital Stay and Post- Myocardial Infarction Morbidity and Mortality: A Kaiser-Permanente Experience Angiology, July 1, 1981; 32(7): 509 - 516. [Abstract] [PDF] |
||||
![]() |
R. J. Myerburg and M. C. Besozzi Decisions in the Treatment of Ventricular Ectopic Activity JAMA, August 4, 1978; 240(5): 476 - 479. [Abstract] [PDF] |
||||
![]() |
R. J. Myerburg, F. W. Briese, C. Conde, S. M. Mallon, R. R. Liberthson, and A. Castellanos Jr Long-Term Antiarrhythmic Therapy in Survivors of Prehospital Cardiac Arrest: Initial 18 Months' Experience JAMA, December 12, 1977; 238(24): 2621 - 2624. [Abstract] [PDF] |
||||
![]() |
M. J. Stern, L. Pascale, and A. Ackerman Life Adjustment Postmyocardial Infarction: Determining Predictive Variables Arch Intern Med, December 1, 1977; 137(12): 1680 - 1685. [Abstract] [PDF] |
||||
|
Circulation Home | Subscriptions | Archives | Feedback | Authors | Help | AHA Journals Home | Search Copyright © 1976 American Heart Association, Inc. All rights reserved. Unauthorized use prohibited. |