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Prognosis after Recovery from Acute Myocardial Infarction

Prognosis after Recovery from Acute Myocardial Infarction Left ventricular (LV) dysfunction, ventricular arrhythmias, and ischemic jeopardy independently determine outcome after recovery from acute myocardial infarction. Because death arid reinfarction are most common early after hospital discharge, predischarge assessment of risk is optimal. Noninvasive methods can adequately detect LV dysfunction and ven­ tricular arrhythmias, but coronary angiography is needed to assess ischemic risk in several subsets of patients. Management should be guided by the magnitude and functional nature of risk factors. INTRODUCTION In this chapter, we deal with the identification of high and low risk patients before hospital discharge after myocardial infarction A predischarge evaluation of the patient is useful for assessing risk and functional capacity of patients. These findings can be translated into management decisions about rehabilitation, further diagnostic tests, and medical or surgical therapy. The overall mortality between hospital discharge and the one-year anniversary of infarction at the present time averages about 10%. About half of the first-year deaths occur during the first three months (1-5). Reinfarction concentrates in the early postdischarge months even more than death. The concentration of death and reinfarction in the first few . 127 0066-4219/84/0401-0127$02.00 BIGGER ET AL weeks after discharge provides a very strong rationale for predischarge evaluation. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Annual Review of Medicine Annual Reviews

Prognosis after Recovery from Acute Myocardial Infarction

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Publisher
Annual Reviews
Copyright
Copyright 1984 Annual Reviews. All rights reserved
Subject
Review Articles
ISSN
0066-4219
eISSN
1545-326X
DOI
10.1146/annurev.me.35.020184.001015
pmid
6372651
Publisher site
See Article on Publisher Site

Abstract

Left ventricular (LV) dysfunction, ventricular arrhythmias, and ischemic jeopardy independently determine outcome after recovery from acute myocardial infarction. Because death arid reinfarction are most common early after hospital discharge, predischarge assessment of risk is optimal. Noninvasive methods can adequately detect LV dysfunction and ven­ tricular arrhythmias, but coronary angiography is needed to assess ischemic risk in several subsets of patients. Management should be guided by the magnitude and functional nature of risk factors. INTRODUCTION In this chapter, we deal with the identification of high and low risk patients before hospital discharge after myocardial infarction A predischarge evaluation of the patient is useful for assessing risk and functional capacity of patients. These findings can be translated into management decisions about rehabilitation, further diagnostic tests, and medical or surgical therapy. The overall mortality between hospital discharge and the one-year anniversary of infarction at the present time averages about 10%. About half of the first-year deaths occur during the first three months (1-5). Reinfarction concentrates in the early postdischarge months even more than death. The concentration of death and reinfarction in the first few . 127 0066-4219/84/0401-0127$02.00 BIGGER ET AL weeks after discharge provides a very strong rationale for predischarge evaluation.

Journal

Annual Review of Medicine – Annual Reviews

Published: Feb 1, 1984

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