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Unsuspected Healed Myocardial Infarction in Patients Dying in a General Hospital

Unsuspected Healed Myocardial Infarction in Patients Dying in a General Hospital Abstract How common is clinically unsuspected healed myocardial infarction among patients in a general hospital? In order to answer this question, we reviewed a series of 5000 consecutive autopsies from 1945 to 1955, inclusive, at this 500-bed general hospital. This is the county hospital of Wayne County, in which the city of Detroit is located. In addition to the general hospital division, the institution has a psychiatric division with about 3500 mental patients and an infirmary with about 2500 indigent inmates (about 2030 men and 470 women). After selecting the autopsy protocols of cases with old myocardial infarcts, the corresponding clinical charts were reviewed, with particular reference to evidence of cardiac or vascular disease. All cases were excluded in which the clinical history or electrocardiographic, radiologic, or physical findings led to a diagnosis or to suspicion of myocardial infarction, whether old, recent, or fresh. A systolic blood pressure of 160 mm. References 1. Barnes, A. R., and Ball, R. G.: The Incidence and Situation of Myocardial Infarction in 1000 Consecutive Postmortem Examinations , Am. J. M. Sc. 183:215-225, 1932.Crossref 2. McCain, F. H.; Kline, E. M., and Gilson, J. S.: A Clinical Study of 281 Autopsy Reports on Patients with Myocardial Infarction , Am. Heart J. 39:263-272, 1950.Crossref 3. Weinberg, S. B.: Personal communication to the authors. 4. Spain, D. M.: Personal communication to the authors. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Internal Medicine American Medical Association

Unsuspected Healed Myocardial Infarction in Patients Dying in a General Hospital

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Publisher
American Medical Association
Copyright
Copyright © 1958 American Medical Association. All Rights Reserved.
ISSN
0888-2479
DOI
10.1001/archinte.1958.00260150012002
Publisher site
See Article on Publisher Site

Abstract

Abstract How common is clinically unsuspected healed myocardial infarction among patients in a general hospital? In order to answer this question, we reviewed a series of 5000 consecutive autopsies from 1945 to 1955, inclusive, at this 500-bed general hospital. This is the county hospital of Wayne County, in which the city of Detroit is located. In addition to the general hospital division, the institution has a psychiatric division with about 3500 mental patients and an infirmary with about 2500 indigent inmates (about 2030 men and 470 women). After selecting the autopsy protocols of cases with old myocardial infarcts, the corresponding clinical charts were reviewed, with particular reference to evidence of cardiac or vascular disease. All cases were excluded in which the clinical history or electrocardiographic, radiologic, or physical findings led to a diagnosis or to suspicion of myocardial infarction, whether old, recent, or fresh. A systolic blood pressure of 160 mm. References 1. Barnes, A. R., and Ball, R. G.: The Incidence and Situation of Myocardial Infarction in 1000 Consecutive Postmortem Examinations , Am. J. M. Sc. 183:215-225, 1932.Crossref 2. McCain, F. H.; Kline, E. M., and Gilson, J. S.: A Clinical Study of 281 Autopsy Reports on Patients with Myocardial Infarction , Am. Heart J. 39:263-272, 1950.Crossref 3. Weinberg, S. B.: Personal communication to the authors. 4. Spain, D. M.: Personal communication to the authors.

Journal

A.M.A. Archives of Internal MedicineAmerican Medical Association

Published: Mar 1, 1958

References