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. 1985 Feb 1;132(3):249–251.

Duration of chest pain associated with acute myocardial infarction: a predictor of long-term prognosis.

J R Ledwich, C J Wong
PMCID: PMC1346705  PMID: 3967159

Abstract

This paper describes 109 patients who had their first myocardial infarction and were then followed up for 3 to 8 years. The following data were collected at the time of the infarction: duration and severity of chest pain, type of infarction and peak SGOT (serum glutamic oxaloacetic transaminase) level. The duration of chest pain has previously been shown to correlate with infarct size. Duration of chest pain, age and peak SGOT level were found to be the most important predictors of survival. None of the other independent variables contributed further to survival when the effects of duration of pain, age and SGOT level were taken into account. However, there was a significant association between pain duration and functional status. These data suggest that the duration of chest pain during first myocardial infarctions is a predictor of long-term prognosis and probably of functional status.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Davidson D. M., DeBusk R. F. Prognostic value of a single exercise test 3 weeks after uncomplicated myocardial infarction. Circulation. 1980 Feb;61(2):236–242. doi: 10.1161/01.cir.61.2.236. [DOI] [PubMed] [Google Scholar]
  2. Davis H. T., DeCamilla J., Bayer L. W., Moss A. J. Survivorship patterns in the posthospital phase of myocardial infarction. Circulation. 1979 Dec;60(6):1252–1258. doi: 10.1161/01.cir.60.6.1252. [DOI] [PubMed] [Google Scholar]
  3. Gibson T. C. The significance of fever in acute myocardial infarction: a reappraisal. Am Heart J. 1974 Apr;87(4):439–444. doi: 10.1016/0002-8703(74)90168-9. [DOI] [PubMed] [Google Scholar]
  4. Henning R., Lundman T. Swedish Co-operative CCU Study. A study of 2008 patients with acute myocardial infarction from 12 Swedish hospitals with coronary care unit. Part I. A description of the early stage. Part II. The short-term prognosis. Acta Med Scand Suppl. 1975;586:1-64, 1-35. [PubMed] [Google Scholar]
  5. Kostuk W. J., Kazamias T. M., Gander M. P., Simon A. L., Ross J., Jr Left ventricular size after acute myocardial infarction. Serial changes and their prognostic significance. Circulation. 1973 Jun;47(6):1174–1179. doi: 10.1161/01.cir.47.6.1174. [DOI] [PubMed] [Google Scholar]
  6. Ledwich J. R. Chest pain in the early recognition of large infarcts. Can Med Assoc J. 1977 Jan 8;116(1):38–43. [PMC free article] [PubMed] [Google Scholar]
  7. Ledwich J. R., Mondragon G. A. Chest pain duration in myocardial infarction. JAMA. 1980 Nov 14;244(19):2172–2174. [PubMed] [Google Scholar]
  8. Norris R. M., Caughey D. E., Deeming L. W., Mercer C. J., Scott P. J. Coronary prognostic index for predicting survival after recovery from acute myocardial infarction. Lancet. 1970 Sep 5;2(7671):485–487. doi: 10.1016/s0140-6736(70)90110-8. [DOI] [PubMed] [Google Scholar]
  9. Sanz G., Castañer A., Betriu A., Magriña J., Roig E., Coll S., Paré J. C., Navarro-López F. Determinants of prognosis in survivors of myocardial infarction: a prospective clinical angiographic study. N Engl J Med. 1982 May 6;306(18):1065–1070. doi: 10.1056/NEJM198205063061801. [DOI] [PubMed] [Google Scholar]
  10. Scheinman M. M., Abbott J. A. Clinical significance of transmural versus nontransmural electrocardiographic changes in patients with acute myocardial infarction. Am J Med. 1973 Nov;55(5):602–607. doi: 10.1016/0002-9343(73)90181-2. [DOI] [PubMed] [Google Scholar]
  11. Sobel B. E., Bresnahan G. F., Shell W. E., Yoder R. D. Estimation of infarct size in man and its relation to prognosis. Circulation. 1972 Oct;46(4):640–648. doi: 10.1161/01.cir.46.4.640. [DOI] [PubMed] [Google Scholar]
  12. Starling M. R., Crawford M. H., Kennedy G. T., O'Rourke R. A. Exercise testing early after myocardial infarction: predictive value for subsequent unstable angina and death. Am J Cardiol. 1980 Dec 1;46(6):909–914. doi: 10.1016/0002-9149(80)90344-6. [DOI] [PubMed] [Google Scholar]
  13. Witteveen S. A., Hemker H. C., Hollaar L., Hermens W. T. Quantitation of infarct size in man by means of plasma enzyme levels. Br Heart J. 1975 Aug;37(8):795–803. doi: 10.1136/hrt.37.8.795. [DOI] [PMC free article] [PubMed] [Google Scholar]

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