In 2002, the number of patients discharged from US hospitals after an acute coronary
syndrome (ACS) was estimated conservatively at 942,000. About 85% of these patients
had a myocardial infarction (MI) and the remaining 15% experienced unstable angina
without MI.
1
When secondary discharge diagnoses are included, the corresponding number of hospital
discharges that year for ACS was approximately 1.7 million: 973,000 for MI and 728,000
for unstable angina.
1
The percentage of patients with ACS who have ST-segment elevation MI is estimated
at 30%–45%.
1
First-time MIs account for approximately 65% of all events and the average age at
the time of MI is 65.8 years for men and 70.4 years for women.
1
The above numbers call attention to the prevalence of MI in the United States and
the need for action to be taken to provide these patients with optimal medical care.To read this article in full you will need to make a payment
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References
- Heart Disease and Stroke Statistics—2005 Update.American Heart Association, Dallas, Texas2004
- Hospital outcomes in patients presenting with congestive heart failure complicating acute myocardial infarction: a report from the Second National Registry of Myocardial Infarction (NRMI-2).J Am Coll Cardiol. 2002; 40: 1389-1394
- An international perspective on heart failure and left ventricular systolic dysfunction complicating myocardial infarction: the VALIANT registry.Eur Heart J. 2004; 25: 1911-1919
- Prognostic role of heart rate variability in patients with a recent acute myocardial infarction.Am J Cardiol. 1998; 82: 1323-1328
- Prognosis and determinants of survival in patients newly hospitalized for heart failure: a population-based study.Arch Intern Med. 2002; 162: 1689-1694
- Randomized trial of an education and support intervention to prevent readmission of patients with heart failure.J Am Coll Cardiol. 2002; 39: 83-89
- Acute heart failure syndromes: current state and framework for future research.Circulation. 2005; 112: 3958-3968
- Intravenous nesiritide vs nitroglycerin for treatment of decompensated congestive heart failure: a randomized controlled trial.JAMA. 2002; 287: 1531-1540
- Heart failure etiology and response to milrinone in decompensated heart failure: results from the OPTIME-CHF study.J Am Coll Cardiol. 2003; 41: 997-1003
- The progression from hypertension to congestive heart failure.JAMA. 1996; 275: 1557-1562
- Sudden death after myocardial infarction—who needs prophylaxis, and when?.N Engl J Med. 2005; 352: 2638-2640
- Effect of metoprolol CR/XL in chronic heart failure: Metoprolol CR/XL Randomised Intervention Trial in Congestive Heart Failure (MERIT-HF).Lancet. 1999; 353: 2001-2007
- Amiodarone or an implantable cardioverter-defibrillator for congestive heart failure.N Engl J Med. 2005; 352: 225-237
- Sudden death in patients with myocardial infarction and left ventricular dysfunction, heart failure, or both.N Engl J Med. 2005; 352: 2581-2588
- Quantitative two-dimensional echocardiographic measurements are major predictors of adverse cardiovascular events after acute myocardial infarction: the protective effects of captopril.Circulation. 1994; 89: 68-75
- Prevention and reversal of LV remodeling with neurohormonal inhibitors.Curr Treat Options Cardiovasc Med. 2004; 6: 313-325
- Heterogeneity in the management and outcomes of patients with acute myocardial infarction complicated by heart failure: the National Registry of Myocardial Infarction.Circulation. 2002; 105: 2605-2610
- Significance of Doppler-detected mitral regurgitation in acute myocardial infarction.Am J Cardiol. 1988; 61: 220-223
- Clinical significance of mitral regurgitation after acute myocardial infarction.Circulation. 1997; 96: 827-833
- Outcome of patients sustaining acute ischemic mitral regurgitation during myocardial infarction.Ann Intern Med. 1992; 117: 18-24
- Mitral regurgitation in early myocardial infarction: incidence, clinical detection, and prognostic implications.Ann Intern Med. 1992; 117: 10-17
- Prevalence and clinical characteristics of left ventricular dysfunction among elderly patients in general practice setting: cross sectional survey.BMJ. 1999; 318: 368-372
- Pharmacology of new agents for acute heart failure syndromes.Am J Cardiol. 2005; 96: 68G-73G
- Chronic heart failure in the United States: a manifestation of coronary artery disease.Circulation. 1998; 97: 282-289
- Systolic blood pressure at admission, clinical characteristics, and outcomes in patients hospitalized with acute heart failure.JAMA. 2006; 296: 2217-2226
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© 2008 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
