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May 11, 1979

Acute Myocardial Infarction: Prognosis Complicated by Ventricular Fibrillation or Cardiac Arrest

Author Affiliations

From the Departments of Epidemiology (Drs Goldberg, Szklo, and Tonascia) and Biostatistics (Dr Tonascia), The Johns Hopkins University School of Hygiene and Public Health, Baltimore, and the Department of Cardiovascular Service and Clinical Investigations (Dr Kennedy), Public Health Service Hospital, Baltimore.

JAMA. 1979;241(19):2024-2027. doi:10.1001/jama.1979.03290450022017

A community-wide study was conducted in metropolitan Baltimore in which the prognosis of 330 patients hospitalized with an acute myocardial infarction (MI) complicated by ventricular fibrillation or cardiac arrest (VFib/CA) was compared with that of 1,071 patients hospitalized with acute MI not complicated by VFib/CA. As expected, the in-hospital case-fatality rate among patients with MI complicated by VFib/CA was significantly higher than that in patients without VFib/CA. However, for patients discharged alive from the hospital, no significant differences in long-term survival were found between patients with MI with or without VFib/CA. These results suggest that attempts at preventing subsequent mortality should be diligently pursued in patients with MI who are discharged alive from the hospital regardless of the occurrence of VFib/CA in the acute phase.

(JAMA 241:2024-2027, 1979)

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