Abstract
In an attempt to determine the most appropriate type of facility for the treatment of myocardial infarction in a rural community, the five-year experience of a practice serving 10,000 people is reviewed. This population is found to have a low incidence of myocardial infarction, a low death rate from the condition both in hospitalized patients and in the general population, and a low incidence of complications in the survivors. None of the deaths either in or out of hospital would likely have been prevented through the use of specialized facilities. It is concluded that no such facilities are necessary in this community and that other areas considering their acquisition should justify the need on the basis of their own experience and not on accounts in the literature.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Anjilvel L. Familial hyperlipoproteinemia in an isolated part of Newfoundland. Can Med Assoc J. 1973 Jan 6;108(1):60–62. [PMC free article] [PubMed] [Google Scholar]
- Armstrong A., Duncan B., Oliver M. F., Julian D. G., Donald K. W., Fulton M., Lutz W., Morrison S. L. Natural history of acute coronary heart attacks. A community study. Br Heart J. 1972 Jan;34(1):67–80. doi: 10.1136/hrt.34.1.67. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fry J., Dillane J. B. Acute coronary deaths. Possible salvage? J R Coll Gen Pract. 1967 Jul;14(1):44–49. [PMC free article] [PubMed] [Google Scholar]
- Lown B., Selzer A. The coronary care unit. Am J Cardiol. 1968 Oct;22(4):597–602. doi: 10.1016/0002-9149(68)90167-7. [DOI] [PubMed] [Google Scholar]
- MacMillan R. L., Brown K. W. Comparison of the effects of treatment of acute myocardial infarction in a coronary unit and on a general medical ward. Can Med Assoc J. 1971 Nov 20;105(10):1037–1040. [PMC free article] [PubMed] [Google Scholar]
- McWhinney I. R. Incidence of ischaemic heart-disease in a country-town group practice. Lancet. 1968 Aug 10;2(7563):342–345. doi: 10.1016/s0140-6736(68)90543-6. [DOI] [PubMed] [Google Scholar]
- Naney A. P. Coronary care in a small rural hospital. J Natl Med Assoc. 1970 May;62(3):204–207. [PMC free article] [PubMed] [Google Scholar]
- Sleet R. A. Report of 24 cases of myocardial infarction treated at home. Br Med J. 1968 Dec 14;4(5632):675–677. doi: 10.1136/bmj.4.5632.675. [DOI] [PMC free article] [PubMed] [Google Scholar]