Acute myocardial infarction: survey of urban and rural hospital mortality.

Abstract:

:Mortality rates for acute myocardial infarction (AMI) in the province of Manitoba were studied by a retrospective, randomized survey of urban and rural hospital records. Urban hospitals had formal coronary care unit (CCU). Selected rural hospitals lacked CCUs but usually possessed portable monitoring and defibrillation equipment. Twenty-seven percent of 852 cases in the study population died. The mortality rate for unequivocal AMI was 14% to 15% to both urban and rural hospitals. Patients with possible AMI had high mortality rates in both facilities (41% to 45%). Subgroup analysis of the definite AMI population failed to reveal statistically significant differences in urban vs rural mortality, although a consistent trend toward superior performance in urban centers was found. The magnitude of the potential of a rural hospital intervention program to reduce the AMI mortality nevertheless appeared to be small.

journal_name

Am Heart J

journal_title

American heart journal

authors

Morris AL,Nernberg V,Roos NP,Henteleff P,Roos L Jr

doi

10.1016/0002-8703(83)90277-6

subject

Has Abstract

pub_date

1983-01-01 00:00:00

pages

44-53

issue

1

eissn

0002-8703

issn

1097-6744

pii

0002-8703(83)90277-6

journal_volume

105

pub_type

杂志文章
  • Automatic adjustment of pacing output in the clinical setting.

    abstract:BACKGROUND:AutoCapture (AC) is a programmable feature that enables the pacemaker to both track the capture threshold and automatically adjust the output on a beat-by-beat basis. Although AC safely and significantly reduces the current drainage, some authors have argued that the longevity benefit of such a system is ove...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/s0002-8703(03)00529-5

    authors: Ribeiro AL,Rincón LG,Oliveira BG,Vinha CR,Melatto D,Torres AA,Barros VC,Levine PA

    更新日期:2004-01-01 00:00:00

  • Survival after acute myocardial infarction (SAMI) study: the design and implementation of a positive deviance study.

    abstract::Positive deviance studies combining qualitative and quantitative designs-a mixed-methods approach-can discover strategies to produce exemplary performance. We present the SAMI study, a national positive deviance study to discover hospital strategies associated with lower 30-day hospital risk-standardized mortality rat...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/j.ahj.2011.09.004

    authors: Krumholz HM,Curry LA,Bradley EH

    更新日期:2011-12-01 00:00:00

  • Incidence and clinical outcome of minor surgery in the year after drug-eluting stent implantation: results from the Evaluation of Drug-Eluting Stents and Ischemic Events Registry.

    abstract:BACKGROUND:The aim of the study was to describe the incidence and consequences of minor surgery after drug-eluting stent (DES) implantation. METHODS:The Evaluation of Drug-Eluting Stents and Ischemic Events (EVENT) Registry prospectively enrolled unselected patients undergoing percutaneous coronary intervention at 47 ...

    journal_title:American heart journal

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.ahj.2010.09.028

    authors: Brilakis ES,Cohen DJ,Kleiman NS,Pencina M,Nassif D,Saucedo J,Piana RN,Banerjee S,Keyes MJ,Yen CH,Berger PB

    更新日期:2011-02-01 00:00:00

  • Dobutamine and nitroprusside infusion in patients with severe congestive heart failure: hemodynamic improvement by discordant effects on mitral regurgitation, left atrial function, and ventricular function.

    abstract:OBJECTIVES:In patients with severe heart failure additional therapeutic support with intravenous inotropic or vasodilator drugs is frequently used in the attempt to obtain hemodynamic control. The nature and extent to which diastolic filling, atrial function, and mitral regurgitation are modified by these drugs have no...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/s0002-8703(97)70030-9

    authors: Capomolla S,Pozzoli M,Opasich C,Febo O,Riccardi G,Salvucci F,Maestri R,Sisti M,Cobelli F,Tavazzi L

    更新日期:1997-12-01 00:00:00

  • Diastolic dysfunction without left ventricular hypertrophy is an early finding in children with hypertrophic cardiomyopathy-causing mutations in the beta-myosin heavy chain, alpha-tropomyosin, and myosin-binding protein C genes.

    abstract:OBJECTIVES:We investigated the presence of left ventricular hypertrophy (LVH) and features of diastolic dysfunction in genotype-confirmed children from families with hypertrophic cardiomyopathy (HCM) and healthy control children. BACKGROUND:In subjects with HCM-causing mutations, LVH usually does not evolve until adol...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/j.ahj.2005.12.005

    authors: Poutanen T,Tikanoja T,Jääskeläinen P,Jokinen E,Silvast A,Laakso M,Kuusisto J

    更新日期:2006-03-01 00:00:00

  • Regional metabolism during coronary occlusion, reperfusion, and reocclusion using phosphorus31 nuclear magnetic resonance spectroscopy in the intact rabbit.

    abstract::Few studies have examined metabolic consequences of coronary occlusion and reperfusion using phosphorus31 nuclear magnetic resonance (31P-NMR) in an intact animal model. Accordingly, we developed a model to study serial changes in myocardial metabolism in the intact open-chest rabbit. Ten animals underwent 20 +/- 2 mi...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(89)90656-x

    authors: Kavanaugh KM,Aisen AM,Fechner KP,Chenevert TL,Dunham WR,Buda AJ

    更新日期:1989-01-01 00:00:00

  • Clinical outcomes after percutaneous revascularization versus medical management in patients with significant renal artery stenosis: a meta-analysis of randomized controlled trials.

    abstract:BACKGROUND:We sought to systematically evaluate whether percutaneous revascularization is associated with additional clinical benefit in patients with renal artery stenosis (RAS) as compared with medical management alone. METHODS:We included randomized controlled trials that compared percutaneous revascularization in ...

    journal_title:American heart journal

    pub_type: 杂志文章,meta分析

    doi:10.1016/j.ahj.2010.12.006

    authors: Kumbhani DJ,Bavry AA,Harvey JE,de Souza R,Scarpioni R,Bhatt DL,Kapadia SR

    更新日期:2011-03-01 00:00:00

  • Successive transradial access for coronary procedures: experience of Quebec Heart-Lung Institute.

    abstract:BACKGROUND:Transradial approach (TRA) for cardiac catheterizations and interventions improves clinical outcomes compared with transfemoral access, and its use is increasing worldwide. However, there are limited data on successive use of same artery for repeat procedures. METHODS:Between May 2010 and May 2011, all cons...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/j.ahj.2012.10.016

    authors: Abdelaal E,Molin P,Plourde G,Machaalany J,Bataille Y,Brousseau-Provencher C,Montminy S,Larose E,Roy L,Gleeton O,Barbeau G,Nguyen CM,Noël B,Costerousse O,Bertrand OF

    更新日期:2013-03-01 00:00:00

  • Frequency response of fluid-filled catheter-micromanometer systems used for measurement of left ventricular pressure.

    abstract::The resonant frequencies of five commonly used fluid-filled catheters connected to a solidstate microdisplacement pressure gauge were 18 to 33 per cent higher than those obtained with a conventional manometer. Four catheters had a flat amplitude response to 26 Hz. or more at the 20 per cent amplitude distortion level...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(75)90508-6

    authors: Scruggs V,Pietras RJ,Rosen KM

    更新日期:1975-05-01 00:00:00

  • Preconditioning during percutaneous transluminal coronary angioplasty by endogenous and exogenous adenosine.

    abstract:BACKGROUND:The purpose of this study was to assess whether pharmacologic preconditioning by exogenous or endogenous adenosine prevents the deterioration of hemodynamic function and left ventricular performance during percutaneous transluminal coronary angioplasty (PTCA). Ischemic preconditioning renders the heart more ...

    journal_title:American heart journal

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1067/mhj.2000.110287

    authors: Heidland UE,Heintzen MP,Schwartzkopff B,Strauer BE

    更新日期:2000-11-01 00:00:00

  • Silent cerebral infarcts after cardiac catheterization: a randomized comparison of radial and femoral approaches.

    abstract:BACKGROUND:Single center studies using serial cerebral diffusion-weighted magnetic resonance imaging in patients having cardiac catheterization have suggested that cerebral microembolism might be responsible for silent cerebral infarct (SCI) as high as 15% to 22%. We evaluated in a multicenter trial the incidence of SC...

    journal_title:American heart journal

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.ahj.2012.04.005

    authors: Hamon M,Lipiecki J,Carrié D,Burzotta F,Durel N,Coutance G,Boudou N,Colosimo C,Trani C,Dumonteil N,Morello R,Viader F,Claise B,Hamon M

    更新日期:2012-10-01 00:00:00

  • Interactions of wine drinking with omega-3 fatty acids in patients with coronary heart disease: a fish-like effect of moderate wine drinking.

    abstract:BACKGROUND:Moderate alcohol drinking and marine omega-3 fatty acids (omega3) have both been associated with low mortality from coronary heart disease (CHD). However, there is little data evaluating the interactions of wine ethanol drinking with omega3 in CHD patients. METHODS:The relationships between wine drinking an...

    journal_title:American heart journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.ahj.2007.08.009

    authors: de Lorgeril M,Salen P,Martin JL,Boucher F,de Leiris J

    更新日期:2008-01-01 00:00:00

  • Shared decision-making tool for thromboprophylaxis in atrial fibrillation - A feasibility study.

    abstract:BACKGROUND:Appropriate thromboprophylaxis for patients with atrial fibrillation or atrial flutter (AF) remains a national challenge. METHODS:We hypothesized that a shared decision-making interaction facilitated by an Atrial Fibrillation Shared Decision Making Tool (AFSDM) would improve patient knowledge about atrial f...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/j.ahj.2018.01.003

    authors: Eckman MH,Costea A,Attari M,Munjal J,Wise RE,Knochelmann C,Flaherty ML,Baker P,Ireton R,Harnett BM,Leonard AC,Steen D,Rose A,Kues J

    更新日期:2018-05-01 00:00:00

  • Coronary vascular reactivity is abnormal in patients with Chagas' heart disease.

    abstract::Symptoms of myocardial ischemia, such as chest pain (sometimes with anginal features), acute myocardial infarction, and segmental wall motion abnormalities (including left ventricular apical aneurysm), frequently occur in patients with Chagas' heart disease. Because these clinical findings occur in the presence of nor...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(95)90122-1

    authors: Torres FW,Acquatella H,Condado JA,Dinsmore R,Palacios IF

    更新日期:1995-05-01 00:00:00

  • The CSL112-2001 trial: Safety and tolerability of multiple doses of CSL112 (apolipoprotein A-I [human]), an intravenous formulation of plasma-derived apolipoprotein A-I, among subjects with moderate renal impairment after acute myocardial infarction.

    abstract:BACKGROUND:CSL112 (apolipoprotein A-I [human]) is a plasma-derived apolipoprotein A-I developed for early reduction of cardiovascular risk following an acute myocardial infarction (AMI). The safety of CSL112 among AMI subjects with moderate, stage 3 chronic kidney disease (CKD) is unknown. METHODS:CSL112_2001, a multi...

    journal_title:American heart journal

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.ahj.2018.11.008

    authors: Gibson CM,Kerneis M,Yee MK,Daaboul Y,Korjian S,Mehr AP,Tricoci P,Alexander JH,Kastelein JJP,Mehran R,Bode C,Lewis BS,Mehta R,Duffy D,Feaster J,Halabi M,Angiolillo DJ,Duerschmied D,Ophuis TO,Merkely B

    更新日期:2019-02-01 00:00:00

  • Time of day and outcomes of nonurgent percutaneous coronary intervention performed during working hours.

    abstract:BACKGROUND:During daytime working hours, outcomes may be worse when percutaneous coronary intervention (PCI) is performed later in the day because of operator fatigue and differences in process of care. METHODS:Using the APPROACH database, we analyzed 2,492 consecutive nonurgent PCI procedures performed during working...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/j.ahj.2010.03.010

    authors: Cantor WJ,Strauss BH,Graham MM,Southern DA,Woo K,Tyrrell B,Knudtson M,Ghali WA

    更新日期:2010-06-01 00:00:00

  • Age and outcome after acute coronary syndromes without persistent ST-segment elevation.

    abstract:BACKGROUND:Although age is the most important variable associated with death among patients with persistent ST-segment elevation, its impact on outcome among patients without persistent ST-segment elevation remains unknown. Moreover, the impact of age on the efficacy of antiplatelet therapy with eptifibatide is unknown...

    journal_title:American heart journal

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0002-8703(00)90018-8

    authors: Hasdai D,Holmes DR Jr,Criger DA,Topol EJ,Califf RM,Harrington RA

    更新日期:2000-05-01 00:00:00

  • Long-term outcome after heart transplantation for peripartum cardiomyopathy.

    abstract::To elucidate the long-term outcome and frequency of complications after heart transplantation for peripartum cardiomyopathy (PPCM), we compared the courses of eight consecutive patients undergoing transplantation for PPCM with those of nine female age-matched control subjects undergoing transplantation for idiopathic ...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(94)90051-5

    authors: Rickenbacher PR,Rizeq MN,Hunt SA,Billingham ME,Fowler MB

    更新日期:1994-05-01 00:00:00

  • Economic analysis of a tailored behavioral intervention to improve blood pressure control for primary care patients.

    abstract:BACKGROUND:Few telemedicine programs have undergone cost analyses, impeding their implementation into practice. We report on the economic analysis of a nurse-administered intervention designed to improve blood pressure control among hypertensive veterans. METHODS:We randomized hypertensive patients at the Durham Veter...

    journal_title:American heart journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.ahj.2010.05.024

    authors: Datta SK,Oddone EZ,Olsen MK,Orr M,McCant F,Gentry P,Bosworth HB

    更新日期:2010-08-01 00:00:00

  • Excess weight and life expectancy after acute myocardial infarction: The obesity paradox reexamined.

    abstract:BACKGROUND:An "obesity paradox" has been described in patients with acute myocardial infarction (AMI), whereby obese and overweight patients have a lower risk of short-term mortality after AMI than normal-weight patients. However, the long-term association of obesity with mortality after AMI remains unknown. METHODS:W...

    journal_title:American heart journal

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.ahj.2015.10.024

    authors: Bucholz EM,Beckman AL,Krumholz HA,Krumholz HM,Dr. Bucholz was affiliated with the Yale School of Medicine and Yale School of Public Health during the time that the work was conducted.

    更新日期:2016-02-01 00:00:00

  • Revival of transcatheter PFO closure: A meta-analysis of randomized controlled trials - impact of shunt size and age.

    abstract:BACKGROUND:Transcatheter foramen ovale closure (TPC) has emerged as a potential treatment option for patients with cryptogenic strokes and persistent foramen ovale (PFO). However, previous randomized controlled trials could hardly demonstrate any benefit compared to medical treatment (Med-Tx). Recently new data have be...

    journal_title:American heart journal

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.ahj.2018.03.025

    authors: Reinthaler M,Ozga AK,Sinning D,Curio J,Al-Hindwan HS,Bäckemo Johansson J,Jung F,Lendlein A,Rauch G,Landmesser U

    更新日期:2018-07-01 00:00:00

  • Training cardiovascular outcomes researchers: A survey of mentees and mentors to identify critical training gaps and needs.

    abstract:BACKGROUND:Many young investigators are interested in cardiovascular (CV) outcomes research; however, the current training experience of early investigators across the United States is uncertain. METHODS:From April to November 2014, we surveyed mentees and mentors of early-stage CV outcomes investigators across the Un...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/j.ahj.2017.07.022

    authors: Khazanie P,Al-Khatib SM,Wang TY,Crowley MJ,Kressin NR,Krumholz HM,Kiefe CI,Wells BL,O'Brien SM,Peterson ED,Sanders GD

    更新日期:2018-02-01 00:00:00

  • A new method of scoring coronary angiograms to reflect extent of coronary atherosclerosis and improve correlation with major risk factors.

    abstract::We developed a new angiographic score of the extent of coronary disease (extent score), which we compared with conventional stenosis and vessel scores that emphasize the severity of stenosis. Scores were determined in 132 patients (29 women, 103 men with a mean age of 55 +/- 10 years) who underwent elective coronary a...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/s0002-8703(05)80173-5

    authors: Sullivan DR,Marwick TH,Freedman SB

    更新日期:1990-06-01 00:00:00

  • The role of transesophageal echocardiography in cardiac donor screening.

    abstract::Transthoracic echocardiography has played a useful role in the screening of cardiac transplant donors. However, transthoracic echocardiograms may be suboptimal in many patients on ventilators. The role of transesophageal echocardiography in cardiac donor screening is unknown. Therefore we compared the potential benefi...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(93)90758-2

    authors: Stoddard MF,Longaker RA

    更新日期:1993-06-01 00:00:00

  • Design and rationale for the Prevention of Cardiovascular Events in Patients With Prior Heart Attack Using Ticagrelor Compared to Placebo on a Background of Aspirin-Thrombolysis in Myocardial Infarction 54 (PEGASUS-TIMI 54) trial.

    abstract:BACKGROUND:P2Y12 receptor antagonist therapy is recommended in addition to ASA for up to 1 year after acute coronary syndrome to reduce ischemic events. In contrast, the benefit of long-term dual antiplatelet therapy beyond 1 year remains unclear. Ticagrelor is a potent, reversibly binding P2Y12 receptor-antagonist tha...

    journal_title:American heart journal

    pub_type: 杂志文章,评审

    doi:10.1016/j.ahj.2013.12.020

    authors: Bonaca MP,Bhatt DL,Braunwald E,Cohen M,Steg PG,Storey RF,Held P,Jensen EC,Sabatine MS

    更新日期:2014-04-01 00:00:00

  • No electrical instability after intracoronary streptokinase administered into sinus node or AV node of dogs.

    abstract::Intracoronary streptokinase (SK) is being used to treat acute myocardial infarction. Complications including atrioventricular (AV) block and both supraventricular and ventricular arrhythmias have been described. Selective cannulation of the nutrient arteries of the sinus node and AV node in the pentobarbital-anestheti...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(84)90825-1

    authors: Epstein AE,Urthaler F,James TN

    更新日期:1984-05-01 00:00:00

  • Two-dimensional echocardiography and color Doppler imaging in patients with systolic-diastolic murmurs.

    abstract::Characteristics of color-coded Doppler imaging combined with two-dimensional and M-mode echocardiography in six patients with systolic-diastolic murmurs are reported. PDA, congenital absence of pulmonary valve leaflets, ventricular septal defect and aortic regurgitation, two ruptured aneurysms of sinus of Valsalva, an...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(87)90551-5

    authors: Vargas-Barron J,Attie F,Skronme D,Sanchez-Ugarte T,Keirns C,Santana-Gonzalez A

    更新日期:1987-12-01 00:00:00

  • Effect of low-grade conductive heating on vascular compliance during in vitro balloon angioplasty.

    abstract::Radiofrequency-powered, thermal balloon angioplasty is a new technique that enhances luminal dilatation with less dissection than conventional angioplasty. The purpose of this study was to assess the effect of radiofrequency heating of balloon fluid on the pressure-volume mechanics of in vitro balloon angioplasty and ...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(94)90005-1

    authors: Mitchel JF,Fram DB,Aretz TA,Gillam LD,Woronick C,Waters DD,McKay RG

    更新日期:1994-07-01 00:00:00

  • Scintigraphic detection of early cardiac rejection by iodine 123-labeled monoclonal antibody directed against monomorphic determinant of major histocompatibility complex class II antigens.

    abstract::Although it has been shown that early cardiac rejection can be visualized by radioimmunoscintigraphy targeting major histocompatibility complex class II antigen, the use of antibodies that bind to a polymorphic determinant of class II antigen has certain disadvantages for clinical application. This investigation was d...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(94)90050-7

    authors: Isobe M,Southern JF,Yazaki Y

    更新日期:1994-05-01 00:00:00

  • Assessment of side branch predilation before a provisional T-stent strategy for bifurcation lesions. A randomized trial.

    abstract:BACKGROUND:A simple approach is the predominant strategy for the percutaneous coronary intervention of bifurcation lesions. Performing side branch (SB) predilation in this context is currently a matter of controversy. In this study, we assess the efficacy of SB predilatation before a provisional T-stent strategy for bi...

    journal_title:American heart journal

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.ahj.2014.05.014

    authors: Pan M,Medina A,Romero M,Ojeda S,Martin P,Suarez de Lezo J,Segura J,Mazuelos F,Novoa J,Suarez de Lezo J

    更新日期:2014-09-01 00:00:00