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In-Hospital Sudden Death After Coronary Care Unit Discharge: A High-Risk Profile

In-Hospital Sudden Death After Coronary Care Unit Discharge: A High-Risk Profile Abstract In a retrospective analysis of in-hospital sudden death among patients with acute myocardial infarction, nine of 48 (18.7%) in-hospital deaths after discharge from the coronary care unit were judged "sudden." This group had a significantly prolonged coronary care unit course, a higher incidence of supraventricular and ventricular arrhythmias, and a noticeable incidence of anterior wall myocardial infarction as compared with those of a matched infarct control group. Seventy-seven percent of the sudden-death group had three or more concomitant highrisk factors as compared with only 3% of a matched control group. References 1. Julian DE, Oliver MF (eds): Acute Myocardial Infarction . Baltimore, Williams & Wilkins Co, 1968. 2. Lown B, Wolf M: Approaches to sudden death from coronary artery disease. Circulation 44:130-142, 1971.Crossref 3. Lown B, Klein MD, Hershberg PI: Coronary and precoronary care. Am J Med 46:705-724, 1969.Crossref 4. Lown B, Ruberman W: The concept of precoronary care. Mod Concept Cardiovasc Dis 39:97-102, 1970. 5. Pantridge JF, Geddes JS: A mobile intensive care unit in the management of myocardial infarction. Lancet 2:271-272, 1967.Crossref 6. Cobb LA, Conn R, Samson WE, et al: Early experience in management of sudden death with a mobile intensive care unit, abstracted. Circulation 42:144, 1970. 7. Lown B, Fakhro A, Hood WB, et al: The coronary care unit: New perspectives and directions. JAMA 199:188-198, 1967.Crossref 8. Killip T: Arrhythmias, sudden death and coronary artery disease. Am J Cardiol 28:614-615, 1971.Crossref 9. Thompson P, Sloman G: Sudden death inhospital after discharge from coronary care unit. Br Med J 2:136-139, 1971.Crossref 10. Boyle D, Barber JM, Walsh MJ, et al: Early mobilization and discharge of patients with acute myocardial infarction. Lancet 2:57-60, 1972.Crossref 11. Rotman M, Wagner GS, Wallace AG: Bradyarrhythmias in acute myocardial infarction. Circulation 45:703-722, 1972.Crossref 12. Lown B: Sudden death from coronary heart disease , in Waldonstron J, Larsson T, Ljungstedt N (eds): Early Phases of Coronary Heart Disease . Stockholm, Nordiska Forlag, Skandia International Symposia, 1973, pp 255-277. 13. Waugh RA, Wagner GS, Haney TL, et al: Immediate and remote prognostic significance of fascicular block during acute myocardial infarction. Circulation 47:766-775, 1973.Crossref 14. Atkins JM, Leshin SJ, Blomquist G, et al: Ventricular conduction blocks and sudden death in acute myocardial infarction. N Engl J Med 288:282-284, 1973.Crossref 15. Grace WJ, Yarvote PM: The intermediate coronary care unit (ICCU), abstracted. Am J Cardiol 26:635, 1970. 16. Rapaport E: Prehospital ventricular defibrillation. N Engl J Med 291:358-359, 1974.Crossref 17. Bloom BS, Peterson OL: End results, cost and productivity of coronary care units. N Engl J Med 288:72-78, 1973.Crossref 18. Hutter AM, Sidel VW, Shine KI, et al: Early hospital discharge after myocardial infarction. N Engl J Med 288:1141-1144, 1973.Crossref 19. Lown B, Sidel VW: Duration of hospital stay following acute myocardial infarction. Am J Cardiol 23:1-3, 1969.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

In-Hospital Sudden Death After Coronary Care Unit Discharge: A High-Risk Profile

Graboys, Thomas B.
Archives of Internal Medicine , Volume 135 (4) – Apr 1, 1975
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References (23)

Publisher
American Medical Association
Copyright
Copyright © 1975 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1975.00330040024003
Publisher site
See Article on Publisher Site

Abstract

Abstract In a retrospective analysis of in-hospital sudden death among patients with acute myocardial infarction, nine of 48 (18.7%) in-hospital deaths after discharge from the coronary care unit were judged "sudden." This group had a significantly prolonged coronary care unit course, a higher incidence of supraventricular and ventricular arrhythmias, and a noticeable incidence of anterior wall myocardial infarction as compared with those of a matched infarct control group. Seventy-seven percent of the sudden-death group had three or more concomitant highrisk factors as compared with only 3% of a matched control group. References 1. Julian DE, Oliver MF (eds): Acute Myocardial Infarction . Baltimore, Williams & Wilkins Co, 1968. 2. Lown B, Wolf M: Approaches to sudden death from coronary artery disease. Circulation 44:130-142, 1971.Crossref 3. Lown B, Klein MD, Hershberg PI: Coronary and precoronary care. Am J Med 46:705-724, 1969.Crossref 4. Lown B, Ruberman W: The concept of precoronary care. Mod Concept Cardiovasc Dis 39:97-102, 1970. 5. Pantridge JF, Geddes JS: A mobile intensive care unit in the management of myocardial infarction. Lancet 2:271-272, 1967.Crossref 6. Cobb LA, Conn R, Samson WE, et al: Early experience in management of sudden death with a mobile intensive care unit, abstracted. Circulation 42:144, 1970. 7. Lown B, Fakhro A, Hood WB, et al: The coronary care unit: New perspectives and directions. JAMA 199:188-198, 1967.Crossref 8. Killip T: Arrhythmias, sudden death and coronary artery disease. Am J Cardiol 28:614-615, 1971.Crossref 9. Thompson P, Sloman G: Sudden death inhospital after discharge from coronary care unit. Br Med J 2:136-139, 1971.Crossref 10. Boyle D, Barber JM, Walsh MJ, et al: Early mobilization and discharge of patients with acute myocardial infarction. Lancet 2:57-60, 1972.Crossref 11. Rotman M, Wagner GS, Wallace AG: Bradyarrhythmias in acute myocardial infarction. Circulation 45:703-722, 1972.Crossref 12. Lown B: Sudden death from coronary heart disease , in Waldonstron J, Larsson T, Ljungstedt N (eds): Early Phases of Coronary Heart Disease . Stockholm, Nordiska Forlag, Skandia International Symposia, 1973, pp 255-277. 13. Waugh RA, Wagner GS, Haney TL, et al: Immediate and remote prognostic significance of fascicular block during acute myocardial infarction. Circulation 47:766-775, 1973.Crossref 14. Atkins JM, Leshin SJ, Blomquist G, et al: Ventricular conduction blocks and sudden death in acute myocardial infarction. N Engl J Med 288:282-284, 1973.Crossref 15. Grace WJ, Yarvote PM: The intermediate coronary care unit (ICCU), abstracted. Am J Cardiol 26:635, 1970. 16. Rapaport E: Prehospital ventricular defibrillation. N Engl J Med 291:358-359, 1974.Crossref 17. Bloom BS, Peterson OL: End results, cost and productivity of coronary care units. N Engl J Med 288:72-78, 1973.Crossref 18. Hutter AM, Sidel VW, Shine KI, et al: Early hospital discharge after myocardial infarction. N Engl J Med 288:1141-1144, 1973.Crossref 19. Lown B, Sidel VW: Duration of hospital stay following acute myocardial infarction. Am J Cardiol 23:1-3, 1969.Crossref

Journal

Archives of Internal Medicine – American Medical Association

Published: Apr 1, 1975

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