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Article
June 17, 1974

Prognosis in Coronary Care Unit Noninfarction Cases

Author Affiliations

From the Cardiology Division, Stanford University School of Medicine, Stanford, Calif. Dr. Lopes is a postdoctoral fellow whose work is supported by a grant from Instituto de Alta Cultura, Portuguese Department of National Education, Lisbon. Dr. Lopes is now with the Hospital Santa Maria, Lisbon.

JAMA. 1974;228(12):1558-1562. doi:10.1001/jama.1974.03230370040021
Abstract

An average 17.9-month follow-up was obtained on 169 patients with chest pain who were admitted to the Stanford University Hospital coronary care unit to rule out a myocardial infarction. Criteria for study included electrocardiographic ST-T abnormalities in the absence of infarction as evidenced by lack of new Q waves or serial enzyme determinations.

A high incidence of subsequent cardiac death following discharge from the coronary care unit was noted, with 4.2% one-month, 10.1% one-year, and 19.7% two-year mortality with 43% of the deaths occurring suddenly. More aggressive evaluation, treatment, and follow-up is indicated in this patient group.

(JAMA 228:1558-1562, 1974)

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