Changes over time in the incidence and case-fatality rates of primary ventricular fibrillation complicating acute myocardial infarction: Perspectives from the Worcester Heart Attack Study

2000 ◽  
Vol 139 (6) ◽  
pp. 1014-1021 ◽  
Author(s):  
Craig A. Thompson ◽  
Jorge Yarzebski ◽  
Robert J. Goldberg ◽  
Darleen Lessard ◽  
Joel M. Gore ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Ventricular Fibrillation ◽  
Heart Attack ◽  
Case Fatality ◽  
Changes Over Time ◽  
Over Time

Immediate primary care of a suspected heart attack

1986 ◽  
Vol 24 (23) ◽  
pp. 89-91
Keyword(s):  
Myocardial Infarction ◽  
Primary Care ◽  
Acute Myocardial Infarction ◽  
Ventricular Fibrillation ◽  
Heart Attack ◽  
Myocardial Damage ◽  
Early Management

About half the patients who suffer acute myocardial infarction die within a month, many within two hours of the onset of symptoms. Most early deaths (and some late deaths) are caused by arrhythmias, especially ventricular fibrillation (VF). Other late deaths are related to the extent of myocardial damage or to a further infarction. The early management of suspected myocardial infarction is therefore directed towards the relief of pain, to preventing and treating serious arrhythmias and to limiting myocardial damage.1 To what extent can treatment to achieve these aims be started outside hospital?

Incidence and case fatality rates of acute myocardial infarction (1975–1984): The Worcester Heart Attack Study

1988 ◽  
Vol 115 (4) ◽  
pp. 761-767 ◽  
Author(s):  
Robert J Goldberg ◽  
Joel M Gore ◽  
Joseph S Alpert ◽  
James E Dalen
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Heart Attack ◽  
Case Fatality

Diagnostic features of acute myocardial infarction - changes over time from 1983 to 1990: results from the FINMONICA AMI register study

1995 ◽  
Vol 237 (2) ◽  
pp. 151-159 ◽  
Author(s):  
V. SALOMAA ◽  
H. MIETTINEN ◽  
P. PALOMÄKI ◽  
M. ARSTILA ◽  
H. MUSTANIEMI ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Register Study ◽  
Diagnostic Features ◽  
Changes Over Time ◽  
Over Time

Changes over time in the use of aspirin in patients hospitalized with acute myocardial infarction (1975 to 1997): A population-based perspective

2002 ◽  
Vol 144 (2) ◽  
pp. 259-268 ◽  
Author(s):  
Elizabeth A. Jackson ◽  
Ramya Sivasubramian ◽  
Frederick A. Spencer ◽  
Jorge Yarzebski ◽  
Darleen Lessard ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Population Based ◽  
Changes Over Time ◽  
Over Time

Management of Ventricular Fibrillation during Acute Myocardial Infarction

1984 ◽  
Vol 23 (04) ◽  
pp. 209-213
Author(s):  
B. J. Northover
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Ventricular Fibrillation ◽  
Coronary Care Unit ◽  
Patient Survival ◽  
Left Ventricular ◽  
Ventricular Failure ◽  
Before And After ◽  
Coronary Care ◽  
The Creation

SummaryAnalysis of electrocardiograms tape-recorded from patients admitted to hospital with acute myocardial infarction revealed that the pattern of ventricular extrasystolic activity was not significantly different among those who subsequently developed ventricular fibrillation and those who did not. Episodes of ventricular fibrillation occurred predominantly within 4 hours from the start of infarction. Patients were 3 times less likely to survive an episode of ventricular fibrillation if they also had left ventricular failure than if this feature was absent. Management of episodes of ventricular fibrillation was compared in patients before and after the creation of a specially staffed and equipped coronary care unit. The success of electric shock as a treatment for ventricular fibrillation was similar before and after the creation of the coronary care unit. An attempt was made to determine which features in the management of ventricular fibrillation in this and in previously published series were associated with patient survival.

scholarly journals Trends in mortality, co-morbidity and treatment after acute myocardial infarction in patients with rheumatoid arthritis 1998–2013

2020 ◽  
Vol 9 (8) ◽  
pp. 931-938 ◽  
Author(s):  
Mattias Skielta ◽  
Lars Söderström ◽  
Solbritt Rantapää-Dahlqvist ◽  
Solveig W Jonsson ◽  
Thomas Mooe
Keyword(s):  
Rheumatoid Arthritis ◽  
Myocardial Infarction ◽  
Heart Failure ◽  
Atrial Fibrillation ◽  
Acute Myocardial Infarction ◽  
Congestive Heart Failure ◽  
Cox Regression Analysis ◽  
Co Morbidity ◽  
One Year ◽  
Over Time

Aims: Rheumatoid arthritis may influence the outcome after an acute myocardial infarction. We aimed to compare trends in one-year mortality, co-morbidities and treatments after a first acute myocardial infarction in patients with rheumatoid arthritis versus non-rheumatoid arthritis patients during 1998–2013. Furthermore, we wanted to identify characteristics associated with mortality. Methods and results: Data for 245,377 patients with a first acute myocardial infarction were drawn from the Swedish Register of Information and Knowledge about Swedish Heart Intensive Care Admissions for 1998–2013. In total, 4268 patients were diagnosed with rheumatoid arthritis. Kaplan-Meier analysis was used to study mortality trends over time and multivariable Cox regression analysis was used to identify variables associated with mortality. The one-year mortality in rheumatoid arthritis patients was initially lower compared to non-rheumatoid arthritis patients (14.7% versus 19.7%) but thereafter increased above that in non-rheumatoid arthritis patients (17.1% versus 13.5%). In rheumatoid arthritis patients the mean age at admission and the prevalence of atrial fibrillation increased over time. Congestive heart failure decreased more in non-rheumatoid arthritis than in rheumatoid arthritis patients. Congestive heart failure, atrial fibrillation, kidney failure, rheumatoid arthritis, prior diabetes mellitus and hypertension were associated with significantly higher one-year mortality during the study period 1998–2013. Conclusions: The decrease in one-year mortality after acute myocardial infarction in non-rheumatoid arthritis patients was not applicable to rheumatoid arthritis patients. This could partly be explained by an increased age at acute myocardial infarction onset and unfavourable trends with increased atrial fibrillation and congestive heart failure in rheumatoid arthritis. Rheumatoid arthritis per se was associated with a significantly worse prognosis.

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