Mortality Rates in Acute Myocardial Infarction. I. The "Normal" Yearly Variation, and the Effect of Hospital Admission Policy

Article1 November 1953MORTALITY RATES IN ACUTE MYOCARDIAL INFARCTION. I. THE "NORMAL" YEARLY VARIATION, AND THE EFFECT OF HOSPITAL ADMISSION POLICYSIDNEY SCHNUR, M.D., F.A.C.P.SIDNEY SCHNUR, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-39-5-1014 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe mortality rate in acute myocardial infarction has been reported as ranging from 8 per cent1to 78 per cent.2Apparently this wide variation in rates in selected groups is not well appreciated. Several investigators have reached conclusions concerning the value of a particular drug or procedure in this disease solely from finding a low mortality rate in a series of patients,3, 4or by noting a decrease in the mortality rate one year as compared with previous years.5, 6, 7, 8Because of the increasing number of reports concerned with the effect of specific therapies upon the mortality rate...Bibliography1. MasterJaffeDack AMHLS: The treatment and immediate prognosis of coronary artery thrombosis, Am. Heart J. 12: 549, 1936. CrossrefGoogle Scholar2. Newman M: Coronary occlusion in young adults, Lancet 2: 409, 1946. CrossrefMedlineGoogle Scholar3. NicholPage ESSW: Dicumarol therapy in acute coronary thrombosis: results in fifty attacks, J. Florida M.A. 32: 365, 1946. MedlineGoogle Scholar4. LoeweEiber LHB: Anticoagulation therapy with Heparin/Pitkin Menstruum in the management of coronary artery thrombosis and its complications, Am. Heart J. 37: 701, 1949. CrossrefMedlineGoogle Scholar5. GreismanMarcus HRM: Acute myocardial infarction: detailed study of Dicumarol therapy in seventy-five consecutive cases, Am. Heart J. 36: 600, 1948. CrossrefMedlineGoogle Scholar6. MullinsHelzPurvisBaileyKeister WLMKJDWRSR: The treatment of acute coronary occlusion with anticoagulants, Pennsylvania M. J. 53: 245, 1950. Google Scholar7. ZeluffField GWWW: Anticoagulants in treatment of coronary occlusion with myocardial infarction: a study of eighty cases, New York State J. Med. 50: 1737, 1950. MedlineGoogle Scholar8. LevineLown SAB: "Arm chair" treatment of acute coronary thrombosis, J. A. M. A. 148: 1365, 1952. CrossrefMedlineGoogle Scholar9. Schnur S: Mortality rates in acute myocardial infarction. II. A proposed method for measuring quantitatively severity of illness on admission to the hospital, Ann. Int. Med. 39: 1018-1025, 1953. LinkGoogle Scholar10. Schnur S: Mortality and other studies questioning the evidence for and value of routine anticoagulant therapy in acute myocardial infarction, Circulation 7: 855, 1953. CrossrefMedlineGoogle Scholar11. SchnurGlassGoensRosenblattSpikes SWGRWHDGA: Further studies of mortality rates in acute myocardial infarction questioning the value of routine anticoagulant therapy. To be published. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication March 20, 1953.From the Department of Medicine, Baylor University College of Medicine, and the Jefferson Davis, St. Joseph's, Methodist and Southern Pacific Hospitals, Houston, Texas. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byReliability of hospital readmission rates in vascular surgeryImproving the Accuracy of Severity IndexesEffect of a Coronary Care Unit on Mortality from Acute Myocardial InfarctionCoronary Care in a General HospitalReferencesEvaluating coronary care unitsA neurologic grading system for acute strokesProblems in evaluating coronary care unitsUnresolved problems in coronary careA CORONARY-CARE UNIT IN THE ROUTINE MANAGEMENT OF ACUTE MYOCARDIAL INFARCTIONA CORONARY PROGNOSTIC INDEX FOR GRADING THE SEVERITY OF INFARCTIONMyocardial Infarction—A Ten-year Experience in a Midwestern General HospitalC. T. ANASTASSIADIS, M.D., S. E. SIVERTSON, M.D.Die Coronarerkrankungen. Coronarinsuffizienz, Angina pectoris und HerzinfarktLong-term prognosis and insurability in coronary heart diseasePractical value of the ballistocardiogram in myocardial infarctionAcute myocardial infarction in a city hospitalContinued employment of individuals partially disabled by heart diseaseGeneral considerations in treatment of myocardial infarctionTHE FAILURE OF ANTICOAGULANT THERAPY TO PREVENT MYOCARDIAL INFARCTION IN PATIENTS WITH PREMONITORY SYMPTOMS OF AN IMPENDING CORONARY OCCLUSION*MILTON SCHLACHMAN, M.D., F.A.C.P.PROGNOSIS OF CORONARY HEART DISEASE IN MEDICAL PRACTITIONERSLONG TERM PROGNOSIS OF MYOCARDIAL INFARCTION. ANALYSIS IN RELATION TO RUSSEKS CLASSIFICATION OF “GOOD” AND “POOR” RISK CASES.LATE RESULTS OF TREATMENT IN MYOCARDIAL INFARCTIONFactors Influencing Early Prognosis in Acute Myocardial Infarction. (An analysis of 320 recent cases) 1 November 1953Volume 39, Issue 5Page: 1014-1017KeywordsAcute myocardial infarctionDeath ratesDrug therapyHospital medicineMortality Issue Published: 1 November 1953 PDF downloadLoading ...