What does this research mean for the field?

In male survivors of a first coronary attack, the severity of the initial attack, continued cigarette consumption, and lower follow-up blood pressure are significantly associated with increased long-term mortality, whereas cholesterol levels, weight, and post-infarction angina do not significantly affect prognosis. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To identify clinical, physiological, and behavioral predictors of four-year mortality in men who survived a first acute coronary attack.

February 1, 1975HeartOpen Access

Factors influenceing long-term prognosis in male patients surviving a first coronary attack.

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Why the study?

What factors influence long-term prognosis in male patients surviving a first coronary attack?

Key Points

To identify clinical, physiological, and behavioral predictors of four-year mortality in men who survived a first acute coronary attack.
Followed 364 men admitted to a secondary coronary prevention program between 1961 and 1971 who survived a first acute coronary insufficiency or myocardial infarction for at least 28 days.
Analyzed four-year outcomes in 252 men, evaluating 11 acute-phase clinical variables alongside post-infarction smoking, blood pressure, cholesterol, and weight.
Overall four-year mortality was 13.5% (34 of 252 patients), with an average annual mortality of 3.4% and an excess concentration of deaths in the first year.
Attack severity was the only acute-phase characteristic significantly associated with poor four-year survival, while persistent cigarette smoking was significantly higher among decedents.
Decedents exhibited significantly lower follow-up systolic and diastolic blood pressure levels, whereas post-infarction angina, serum cholesterol, and mean weight had no significant effect on prognosis.

Structured PICO

What factors influence long-term prognosis in male patients surviving a first coronary attack?

Population

364 men who survived a first episode of acute coronary insufficiency or myocardial infarction for 28 days, admitted to a coronary heart disease secondary programme between 1961 and 1971.

Outcome

4-year mortalityhard clinical

Severity of the initial attack and continued smoking are significant predictors of long-term mortality in men surviving a first coronary event.

Discussion

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Implication

Severity of initial attack and post-MI smoking predict mortality in men; supports risk stratification but leaves causal effects of cessation open.

Cite This Study

Mulcahy et al. (1975) studied this question.

synapsesocial.com/papers/6a12967db8b0b51fb9a3ee29 https://doi.org/10.1136/hrt.37.2.158

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Implication

Severity of initial attack and post-MI smoking predict mortality in men; supports risk stratification but leaves causal effects of cessation open.

Factors influenceing long-term prognosis in male patients surviving a first coronary attack.

Key Points

Structured PICO

Discussion

Implication

Cite This Study

Factors influenceing long-term prognosis in male patients surviving a first coronary attack.

Key Points

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Also Consider