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. 1975 Feb;37(2):158–165. doi: 10.1136/hrt.37.2.158

Factors influenceing long-term prognosis in male patients surviving a first coronary attack.

R Mulcahy, N Hickey, I Graham, G McKenzie
PMCID: PMC484096  PMID: 1122271

Abstract

Three hundred and sixty-four men who survived a first episode of acute coronary insufficiency or myocardial infarction for 28 days were admitted to a coronary heart disease secondary programme between 1 January 1961 and 31 December 1971. Of these, 252 have been followed for at least 4 years. The 4-year mortality was 13.5 per cent (34 patients). The average mortality was 3.4 per cent but an excess of deaths occurred during the first year of follow-up. Of 11 characteristics measured during the acute attack, only severity of the attack was significantly associated with poor 4-year survival. Cigarette consumption after infarction was significantly less among those surviving the 4-year period when compared with decedents. Follow-up systolic and diastolic blood pressure levels were significantly lower among decedents. No significant differences were noted in serum cholesterol levels and in mean weight, The presence of post-infarction angina did not affect the prognosis.

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Selected References

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

  1. Beard O. W., Hipp H. R., Robins M., Verzolini V. R. Initial myocardial infarction among veterans: ten-year survival. Am Heart J. 1967 Mar;73(3):317–321. doi: 10.1016/0002-8703(67)90426-7. [DOI] [PubMed] [Google Scholar]
  2. Bierenbaum M. L., Fleischman A. I., Raichelson R. I., Hayton T., Watson P. B. Ten-year experience of modified-fat diets on younger men with coronary heart-disease. Lancet. 1973 Jun 23;1(7817):1404–1407. doi: 10.1016/s0140-6736(73)91736-4. [DOI] [PubMed] [Google Scholar]
  3. Cady L. D., Jr Epidemiology of coronary heart disease. Am J Cardiol. 1967 Nov;20(5):692–702. doi: 10.1016/0002-9149(67)90013-6. [DOI] [PubMed] [Google Scholar]
  4. Chapman J. M., Coulson A. H., Clark V. A., Borun E. R. The differential effect of serum cholesterol, blood pressure and weight on the incidence of myocardial infarction and angina pectoris. J Chronic Dis. 1971 Feb;23(9):631–645. doi: 10.1016/0021-9681(71)90159-7. [DOI] [PubMed] [Google Scholar]
  5. Frank C. W., Weinblatt E., Shapiro S., Sager R. V. Prognosis of men with coronary heart disease as related to blood pressure. Circulation. 1968 Aug;38(2):432–438. doi: 10.1161/01.cir.38.2.432. [DOI] [PubMed] [Google Scholar]
  6. GERTLER M. M., WHITE P. D., SIMON R., GOTTSCH L. G. LONG-TERM FOLLOW-UP STUDY OF YOUNG CORONARY PATIENTS. Am J Med Sci. 1964 Feb;247:145–155. doi: 10.1097/00000441-196402000-00003. [DOI] [PubMed] [Google Scholar]
  7. Geismar P., Iversen E., Mosbech J., Deyer K. Long-term survival after myocardial infarction: a national follow-up study of 642 patients in Denmark. Int J Epidemiol. 1973 Autumn;2(3):257–263. doi: 10.1093/ije/2.3.257. [DOI] [PubMed] [Google Scholar]
  8. HONEY G. E., TRUELOVE S. C. Prognostic factors in myocardial infarction. Lancet. 1957 Jun 15;272(6981):1209–1212. doi: 10.1016/s0140-6736(57)91787-7. [DOI] [PubMed] [Google Scholar]
  9. Heady J. A. A cooperative trial on the primary prevention of ischaemic heart disease using clofibrate: design, methods, and progress. Bull World Health Organ. 1973;48(2):243–256. [PMC free article] [PubMed] [Google Scholar]
  10. Low-fat diet in myocardial infarction: A controlled trial. Lancet. 1965 Sep 11;2(7411):501–504. [PubMed] [Google Scholar]
  11. MORRISON L. M. Diet in coronary atherosclerosis. J Am Med Assoc. 1960 Jun 25;173:884–888. doi: 10.1001/jama.1960.03020260024006. [DOI] [PubMed] [Google Scholar]
  12. Miettinen M., Turpeinen O., Karvonen M. J., Elosuo R., Paavilainen E. Effect of cholesterol-lowering diet on mortality from coronary heart-disease and other causes. A twelve-year clinical trial in men and women. Lancet. 1972 Oct 21;2(7782):835–838. doi: 10.1016/s0140-6736(72)92208-8. [DOI] [PubMed] [Google Scholar]
  13. Mulcahy R., Hickey N. Cigarette smoking habits of patients with coronary heart disease. Br Heart J. 1966 May;28(3):404–408. doi: 10.1136/hrt.28.3.404. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Norris R. M., Caughey D. E., Deeming L. W., Mercer C. J., Scott P. J. Prognosis following acute myocardial infarction. N Z Med J. 1973 Jan;77(488):12–18. [PubMed] [Google Scholar]
  15. PELL S., D ALONZO C. A. IMMEDIATE MORTALITY AND FIVE-YEAR SURVIVAL OF EMPLOYED MEN WITH A FIRST MYOCARDIAL INFARCTION. N Engl J Med. 1964 Apr 30;270:915–922. doi: 10.1056/NEJM196404302701801. [DOI] [PubMed] [Google Scholar]
  16. ROSE G. A., THOMSON W. B., WILLIAMS R. T. CORN OIL IN TREATMENT OF ISCHAEMIC HEART DISEASE. Br Med J. 1965 Jun 12;1(5449):1531–1533. doi: 10.1136/bmj.1.5449.1531. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. SIEVERS J. MYOCARDIAL INFARCTION. CLINICAL FEATURES AND OUTCOME IN THREE THOUSAND THIRTY-SIX CASES. Acta Med Scand. 1964;175:SUPPL 406–406:1+. [PubMed] [Google Scholar]
  18. Shanoff H. M., Little J. A., Csima A. Studies of male survivors of myocardial infarction. XII. Relation of serum lipids and lipoproteins to survival over a 10-year period. Can Med Assoc J. 1970 Oct 24;103(9):927–931. [PMC free article] [PubMed] [Google Scholar]
  19. Zukel W. J., Cohen B. M., Mattingly T. W., Hrubec Z. Survival following first diagnosis of coronary heart disease. Am Heart J. 1969 Aug;78(2):159–170. doi: 10.1016/0002-8703(69)90004-0. [DOI] [PubMed] [Google Scholar]

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