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April 23, 1973JAMA52 citations

Uncomplicated Myocardial Infarction

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NWNanette K. Wenger

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.

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.

Abstract

A questionnaire on management of uncomplicated acute myocardial infarction patients was mailed to 1,200 general practitioners, 1,200 internists, and 1,200 cardiologists. The 69% who responded managed approximately 70,000 patients with acute myocardial infarction in 1970. General practitioners saw three-fifths of these patients. Of acute myocardial infarction patients, 45% were considered to have uncomplicated infarction. Most responses were similar for general practitioners, internists, and cardiologists, who routinely hospitalized 95% of uncomplicated acute myocardial infarction patients for a 21-day hospital stay. Of physicians, 97% restricted smoking, 77% restricted calories, and 71% used anticoagulants. Of patients under age 65, 87% returned to work two to four months after uncomplicated myocardial infarction.

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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.

synapsesocial.com/papers/6a1ff7629d62e9997c04aa32https://doi.org/10.1001/jama.1973.03220170037008
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