Key result
A survey of physicians managing uncomplicated acute myocardial infarction found that 95% routinely hospitalized patients for 21 days, 97% restricted smoking, and 71% used anticoagulants.
Population
1,200 general practitioners, 1,200 internists, and 1,200 cardiologists managing approximately 70,000…
Design
Cross-sectional
Authors
Discussion
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Implication
Captures 1970 MI management patterns; leaves open how subsequent trials altered practice.
Key Points
- The study aims to assess management practices for patients with uncomplicated acute myocardial infarction among different physician specialties.
- Questionnaire mailed to 3,600 physicians (1,200 general practitioners, 1,200 internists, 1,200 cardiologists)
- Responses collected from 69% of the surveyed physicians
- Analysis of treatment patterns and outcomes for approximately 70,000 acute myocardial infarction patients.
- 95% of uncomplicated myocardial infarction patients hospitalized for 21 days
- 97% of physicians recommended smoking cessation
- 87% of patients under age 65 returned to work within two to four months post-infarction.
Study Design
Type
Cross-Sectional (n=2,484)
Structured PICO
P
Population
Survey of 2,484 responding physicians (general practitioners, internists, and cardiologists) who managed approximately 70,000 patients with acute myocardial infarction in 1970.
O
Outcome
Management practices for uncomplicated acute myocardial infarction
In 1970, physicians across specialties demonstrated similar management practices for uncomplicated myocardial infarction, typically involving a 21-day hospital stay and high rates of smoking restriction and anticoagulant use.
Cite This Study
Nanette K. Wenger (1973) conducted a cross-sectional in Uncomplicated acute myocardial infarction (n=2,484). Management practices was evaluated on Management practices (hospitalization, smoking restriction, calorie restriction, anticoagulant use). A survey of physicians managing uncomplicated acute myocardial infarction found that 95% routinely hospitalized patients for 21 days, 97% restricted smoking, and 71% used anticoagulants.