Skip to main content

Routine Management of Myocardial Infarction

  • Chapter
Coronary Care Medicine

Abstract

Recent changes in the routine management of patients with uncomplicated myocardial infarction (MI) over a 10-year period have been highlighted in a publication that surveyed general and family practitioners, internists, and cardiologists in the United States [1]. This survey revealed that half the myocardial infarcts were regarded as uncomplicated. Because intensive or coronary care facilities were widely available in both metropolitan and rural areas, more than 90 per cent of physicians routinely hospitalized their patients. Between 1970 and 1979, the use of intensive care and coronary care facilities increased and the availability of progressive care facilities rose from 33 to 75 per cent.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Wenger NK, Hellerstein HK, Blackburn H, Cas-tranova SJ: Physician practice in the management of patients with uncomplicated myocardial infarction: Changes in the past decade. Circulation 65: 421–427, 1982.

    Article  PubMed  CAS  Google Scholar 

  2. Pantridge JF, Geddes JS: A mobile intensive-care unit in the management of myocardial infarction. Lancet 2: 271, 1967.

    Article  PubMed  CAS  Google Scholar 

  3. Pantridge JF, Adgey AAJ: Pre-hospital coronary care: The mobile coronary care unit. Am J Car-diol 24: 666–673, 1969.

    Article  CAS  Google Scholar 

  4. Adgey AAJ, Allen JD, Geddes JS, James RGG, Webb SW, Zaidi SA, Pantridge JF: Acute phase of myocardial infarction. Lancet 11: 501–504, 1971.

    Article  Google Scholar 

  5. Kuller L, Lilienfeld A, Fisher R: Epidemiological study of sudden and unexpected deaths due to arteriosclerotic heart disease. Circulation 34: 1056–1068, 1966.

    PubMed  CAS  Google Scholar 

  6. Thompson RG, Hallstrom AP, Cobb LA: Bystander-initiated cardiopulmonary resuscitation in the management of ventricular fibrillation. Ann Intern Med 90: 737–740, 1979.

    PubMed  CAS  Google Scholar 

  7. Cobb LA, Alvarez H, Kopass MK: A rapid response system for out-of-hospital cardiac emergencies. Med Clin N Am 60: 283–290, 1976.

    PubMed  CAS  Google Scholar 

  8. Lund I, Skulberg A: Cardiopulmonary resuscitation by lay people. Lancet 11: 702–705, 1976.

    Article  Google Scholar 

  9. Liberthson RR, Nagel EL, Hirschman JC, Nus-senfeld SR: Pre-hospital ventricular defibrilla-tion: Prognosis and followup course. N Engl J Med 291: 317–321, 1974.

    Article  PubMed  CAS  Google Scholar 

  10. Lewis RP, Lanese RR, Stang JM, Chirikos TN, Keller MD, Warren JV: Reduction of mortality from pre-hospital myocardial infarction by prudent patient activity of mobile coronary care system. Am Heart J 103: 123–130, 1982.

    Article  PubMed  CAS  Google Scholar 

  11. Cobb LA: Pre-hospital cardiac cure: Does it make a difference. Am Heart J 103: 316–318, 1982.

    Article  PubMed  CAS  Google Scholar 

  12. Thomas M, Malcrona R, Fillmore S, et al: Haemodynamic effects of morphine in patients with acute myocardial infarction. Br Heart J 27: 863–875, 1965.

    Article  PubMed  CAS  Google Scholar 

  13. Weil JV, McCullough RF, Kline JS, Sodal IE: Diminished ventilatory response to hypoxia and hypercapnia after morphine in normal man. N Engl J Med 292: 1103–1106, 1975.

    Article  PubMed  CAS  Google Scholar 

  14. Alderman EL, Barry WH, Graham AF, Harrison DC: Hemodynamic effects of morphine and pentazocine differ in cardiac patients. N Engl J Med 287: 623–627, 1972.

    Article  PubMed  CAS  Google Scholar 

  15. Kerr F: Nitrous oxide analgesia in myocardial infarction. Lancet 1: 63–66, 1972.

    Article  PubMed  CAS  Google Scholar 

  16. Parbrook G: Therapeutic uses of nitrous oxide. Br J Anaestb 40: 365–371, 1968.

    Article  CAS  Google Scholar 

  17. Thompson P, Lown B: Nitrous oxide as an analgesic in acute myocardial infarction. JAMA 235: 924–927, 1976.

    Article  PubMed  CAS  Google Scholar 

  18. Wynne J, Mann T, Alpert JS, Green LH, Grossman W: Hemodynamic effects of nitrous oxide administered during cardiac catheterization. JAMA 243: 1440–1443, 1980.

    Article  PubMed  CAS  Google Scholar 

  19. Lie K.I. Wellens HJ, van Capelle FJ, Durrer D: Lidocaine in the prevention of primary ventricular fibrillation. N Engl J Med 291: 1324–1326, 1974.

    Article  PubMed  CAS  Google Scholar 

  20. Chalmers TC, Matta RJ, Smith H., Kunzler AM: Evidence favoring the use of anticoagulants in the hospital phase of acute myocardial infarction. N Engl J Med 297: 1091–1096, 1977.

    Article  PubMed  CAS  Google Scholar 

  21. Selzer A: Use of anticoagulant agents in acute myocardial infarction: Statistics or clinical judgment. Am J Cardiol 41: 1315–1317, 1978.

    Article  PubMed  CAS  Google Scholar 

  22. Goldman L, Feinstein AR: Anticoagulants and myocardial infarction. The problems of pooling: Drowning and floating. Ann Intern Med 90: 92–94, 1979.

    PubMed  CAS  Google Scholar 

  23. Deykin D: Current status of anticoagulant therapy. Am J Med 72: 659–664, 1982.

    Article  PubMed  CAS  Google Scholar 

  24. Mitchell JRA: Anticoagulants in coronary heart disease: Retrospect and prospect. Lancet 1: 257–262, 1981.

    Article  PubMed  CAS  Google Scholar 

  25. Asinger RW, Mikell FL, Elsperger J, et al: Incidence of left-ventricular thrombosis after acute transmural myocardial infarction. N Engl J Med 305: 297–302, 1981.

    Article  PubMed  CAS  Google Scholar 

  26. Weinrich DJ, Burke JF, Jo Pauletto F: Left ventricular mural thrombi complicating acute myocardial infarction. Ann Intern Med 100: 789–794, 1984.

    Google Scholar 

  27. Visser CA, et al: Embolic potential of left ventricular thrombus after myocardial infarction: A two-dimensional echocardiographic study of 119 patients. J Am Coll Cardiol 5: 1276–1280, 1985.

    Article  PubMed  CAS  Google Scholar 

  28. Ezekowitz MD, et al: Comparison of indium-111 platelet scintigraphy and two-dimensional echocardiography in the diagnosis of left ventricular thrombi. N Engl J Med 306: 1509–1513, 1982.

    Article  PubMed  CAS  Google Scholar 

  29. Nordrehaug JE, Johannessen K-A, Von der Lippe G: Usefulness of high dose anticoagulant in preventing left ventricular thrombus in acute myocardial infarction. Am J Cardiol 55: 1491–1493, 1985.

    Article  PubMed  CAS  Google Scholar 

  30. Kramer P, et al: Lysis of left ventricular thrombi with urokinase. Circulation 72: 112–118, 1985.

    Article  Google Scholar 

  31. Anticoagulants in acute myocardial infarction. Results of a cooperative clinical trial. JAMA 225: 724–729, 1973.

    Article  Google Scholar 

  32. Sixty Plus Reinfarction Group: A double-blind trial to assess long-term oral anticoagulant therapy in elderly patients after myocardial infarction, Lancet 11: 989–994, 1980.

    Google Scholar 

  33. Spicer J: The psychological impact of myocardial infarction. Technical Report No. 19: National Heart Foundation of New Zealand. Editor: Dr. D.R. Hay.

    Google Scholar 

  34. Hackett TP, Cassem NH, Wishnie A: The coronary care unit: An appraisal of its psychologic hazards. N Engl J Med 279: 1365–1370, 1968.

    Article  PubMed  CAS  Google Scholar 

  35. Ford AB, Hellerstein HK: Work and heart disease. I. A psychologic study in the factory. Circulation 18: 823–832, 1958.

    PubMed  CAS  Google Scholar 

  36. Ford AB, Hellerstein HK, Turell DJ: Work and heart disease. II. A psychologic study in a steel mill. Circulation 20: 537, 1959.

    PubMed  CAS  Google Scholar 

  37. Naughton J, Sevelius G, Balke B: Physiological responses of normal and pathological subjects to a modified work capacity test. J Sports Med 3: 201, 1953.

    Google Scholar 

  38. Markiewicz W, Houston N, De Busk RF: Exercise testing soon after myocardial infarction. Circulation 56: 26–31, 1977.

    PubMed  CAS  Google Scholar 

  39. Theroux P, Waters DD, Halphen C, Debaisieux JC, Mizgala HF: Prognostic value of exercise testing soon after myocardial infarction. N Engl J Med 301: 341–345, 1979.

    Article  PubMed  CAS  Google Scholar 

  40. Davidson DM, De Busk RF: Prognostic value of a single exercise test 3 weeks after uncomplicated myocardial infarction. Circulation 61: 236–242, 1980.

    PubMed  CAS  Google Scholar 

  41. Smith JW, Dennis CA, Grassman A, et al: Exercise testing three weeks after myocardial infarction. Chest 75: 12, 1979.

    Article  PubMed  CAS  Google Scholar 

  42. Sami M, Kraemer D, De Busk RF: The prognostic significance of serial exercise testing after myocardial infarction. Circulation 60: 1238–1246, 1979.

    PubMed  CAS  Google Scholar 

  43. Schulze RA Jr, Strauss HW, Pitt B: Sudden death in the year following myocardial infarction. Relation to ventricular premature contractions in the late hospital phase and left ventricular ejection fraction. Am J Med 62: 192–199, 1977.

    Article  PubMed  Google Scholar 

  44. Weld FM, Bigger JT: Risk stratification by exercise testing and 24-hour ambulatory electrocardiogram 2 weeks after acute myocardial infarction. Circulation 58(Suppl II): 11–198, 1978.

    Google Scholar 

  45. Taylor GJ, O’Neal Humphries J, Mellits ED, Pitt B, Schulze RA, Griffith LSC, Achuff SC: Predictors of clinical course, coronary anatomy and left ventricular function after recovery from acute myocardial infarction. Circulation 62: 960–970, 1980.

    PubMed  CAS  Google Scholar 

  46. Goldschlager N: Treadmill exercise testing soon after myocardial infarction. Cardiovas Rev Rep 1: 397–402, 1980.

    Google Scholar 

  47. De Feyter PJ, van Eenige MJ, Dighton DH, Visser FC, De Jong J, Roos JP: Prognostic value of exercise testing, angiography and left ven-triculography 6 to 8 weeks after myocardial infarction. Circulation 66: 527–536, 1982.

    Article  PubMed  Google Scholar 

  48. Lewis JA, Ellis SH: A statistical appraisal of postinfarction beta-blocker trials. Primary Car-diol. Suppl 1, 1982, pages 31–37.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 1986 Martinus Nijhoff Publishing, Boston.

About this chapter

Cite this chapter

Antman, E.M., Rutherford, J.D. (1986). Routine Management of Myocardial Infarction. In: Coronary Care Medicine. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2303-7_3

Download citation

  • DOI: https://doi.org/10.1007/978-1-4613-2303-7_3

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4612-9418-4

  • Online ISBN: 978-1-4613-2303-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics