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March 1, 1958Archives of Internal Medicine

Unsuspected Healed Myocardial Infarction in Patients Dying in a General Hospital

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Population

5000 consecutive autopsies from 1945 to 1955 at a 500-bed general hospital in Wayne County, Detroit. Cases…

Design

Cross-sectional

Authors

SGS. E. GouldNational Academy of Sciences

Discussion

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Implication

Highlights risk of missed MI diagnoses; leaves open impact of modern biomarkers and imaging on detection.

Structured PICO

P
Population
5000 consecutive autopsies from 1945 to 1955 at a 500-bed general hospital in Wayne County, Detroit. Cases with old myocardial infarcts were selected, excluding any with prior clinical history, ECG, radiologic, or physical findings suggesting myocardial infarction.
O
Outcome
Prevalence of clinically unsuspected healed myocardial infarction

This historical autopsy study aimed to determine the frequency of healed myocardial infarctions that were clinically unrecognized during the patients' lifetimes.

Cite This Study

S. E. Gould (1958) studied this question.

synapsesocial.com/papers/6a72c2b475498292b70bb7d0https://doi.org/10.1001/archinte.1958.00260150012002
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Also Consider

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  1. 1PROGNOSTIC VALUE OF VARIOUS CLINICAL AND ELECTROCARDIOGRAPHIC FEATURES OF ACUTE MYOCARDIAL INFARCTION1941 · 87 citations
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  4. 4THE PROGNOSIS OF ANGINA PECTORIS AND OF CORONARY THROMBOSIS1926 · 57 citations
  5. 5THE INCIDENCE OF HEART DISEASE IN 2,000 CONSECUTIVE AUTOPSIES1948 · 334 citations