Among individuals with definite myocardial infarction, 2-year all-cause mortality was 20.3% and ischaemic heart disease mortality was 14.4%.
Cohort (n=706)
No
A structured post-MI treatment policy emphasizing beta-blockers and routine exercise ECGs resulted in a 20.3% 2-year all-cause mortality rate among hospital survivors in a 1984-1985 Swedish cohort.
We have studied 773 consecutive cases (706 individuals) with definite myocardial infarction treated in the Coronary Care Unit at Danderyd Hospital in Stockholm during the period 1984-85. Hospital mortality was 12.9% in all patients and 8.9% in patients under 70 years of age. Six hundred and six patients were discharged from the hospital and followed up for 2 years. The 2-year mortality in ischaemic heart disease was 14.4% in all patients and 9.5% in patients under 70 years of age and, including all causes of death, 20.3% and 14.6%, respectively. Our policy for medical treatment included frequent use of beta-adrenergic blocking agents, even in heart failure, and restricted use of antiarrhythmic drugs and digitalis. A short delay of admission may have been beneficial for the result of different kinds of anti-ischaemic intervention. Furthermore, a routinely performed exercise ECG before discharge and after 6 weeks, as part of a structured follow-up, has improved our ability to detect complications at an early stage and to optimize medical treatment.
Ericsson et al. (Thu,) conducted a cohort in Myocardial infarction (n=706). Myocardial infarction was evaluated on 2-year all-cause mortality. Among individuals with definite myocardial infarction, 2-year all-cause mortality was 20.3% and ischaemic heart disease mortality was 14.4%.