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Michael Stein, MD; A. Robert Cordell, MD

AMA Arch Surg. 1969;99(6):802-807.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The overall mortality of acute myocardial infarction, in most series, is approximated at 30%. In the presence of congestive heart failure and pulmonary edema, the mortality rises to 60%, and the presence of shock to 80% to 100%. In a series of patients with acute myocardial infarction admitted to one hospital, 25% to 50% died secondary to shock, congestive heart failure, myocardial rupture, or arrhythmias. The majority of these patients died within the first 48 to 72 hours following the onset of symptoms.¹ Even with recent improvement in medical management, there has been relatively little change in the mortality rate in this group of patients.

Murray,² in 1947, first proposed that resection of an acutely infarcted segment of myocardium would improve cardiac function and decrease myocardial irritability. More recently, studies by other workers including Heimbecker et al,^3,4 Glass et al,^5,6 Jude et al,⁷ and Crastnopol . . . [Full Text PDF of this Article]

Author Affiliations
Winston-Salem, NC

From the Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, NC.

Footnotes
Submitted for publication Aug 5, 1969.

Read before the 17th scientific meeting of the North American Chapter of the International Cardiovascular Society, New York, July 12, 1969.

Reprint requests to Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, NC (Dr. Stein).

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