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April 4, 1953Journal of the American Medical Association

Clinical Study of Shock Following Myocardial Infarction

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Population

15 cases of shock syndrome following acute myocardial infarction seen in 1949 and 1950

Design

Case_series

Authors

TFTheodore R. FinkHadassah Academic CollegeCDCarl J. d'AngioSBSol BiloonMorris College

Discussion

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Implication

Historical case series of post-MI shock; hypothesis-generating and should not yet change practice.

Key Points

  • To evaluate the physiological nature and clinical response of post-myocardial infarction shock syndrome to empirical therapy.
  • Conducted a clinical investigation of 15 patients presenting with shock following acute myocardial infarction between 1949 and 1950.
  • Administered empirical medical therapy tailored to bedside clinical and hemodynamic findings.
  • Demonstrated that shock following acute myocardial infarction involves complex circulatory failure distinct from classical traumatic shock.
  • Identified differing hemodynamic responses to supportive measures, reflecting variations between primary pump failure and peripheral vascular tone.

Structured PICO

P
Population
15 cases of shock syndrome following acute myocardial infarction seen in 1949 and 1950
I
Intervention
Empirical therapy based on clinical findings
O
Outcome
Response to empirical therapy

A historical case series of 15 patients with shock following acute myocardial infarction treated empirically to clarify the nature of the syndrome.

Cite This Study

Fink et al. (1953) studied this question.

synapsesocial.com/papers/6a1551aa5347fbb1739f95f2https://doi.org/10.1001/jama.1953.02940140007003
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1TREATMENT OF SHOCK IN RECENT MYOCARDIAL INFARCTION BY INTRA-ARTERIAL TRANSFUSION1951 · 30 citations
  2. 2USE OF DRUGS IN SHOCK ACCOMPANYING MYOCARDIAL INFARCTION1958 · 13 citations
  3. 3Chronic Shock after Myocardial Infarction, Its Mechanisms and Management1963 · 14 citations
  4. 4L-ARTERENOL (LEVOPHED®) IN THE TREATMENT OF SHOCK DUE TO ACUTE MYOCARDIAL INFARCTION1952 · 47 citations
  5. 5Management of Shock in Acute Myocardial Infarction1953 · 30 citations