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Ischaemic Heart Disease pp 251–286Cite as

Investigation and management of acute myocardial infarction

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Part of the book series: Current Status of Clinical Cardiology ((CSOCC,volume 5))

Abstract

In the initial hours following a ‘heart attack’, as many as 50% of subjects die from ventricular fibrillation or acute left ventricular failure. For the survivors who reach hospital, or who are treated at home, left ventricular function, reflecting the amount of viable myocardium that remains, is the single most important determinant of both short and long term morbidity and mortality. Patients with large infarctions will tend to demonstrate poor left ventricular function and a high percentage will develop cardiogenic shock, late ventricular tachyarrhythmias, or subsequent (often unheralded) ventricular fibrillation. Though coronary care units, introduced in the early 1960s, have decreased the in-hospital mortality from arrhythmias, in the 1970s there was only a slight reduction in mortality from the other principal causes of death, such as cardiogenic shock, heart failure or further myocardial infarction. The recent introduction of an aggressive early interventional approach to the management of acute myocardial infarction offers some hope for future patients.

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Authors
  1. C. D. J. Ilsley
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  2. M. B. Ablett
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Editor information

Editors and Affiliations

  1. National Heart Hospital, London, UK

    Kim M. Fox (Consultant Cardiologist) (Consultant Cardiologist)

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© 1987 MTP Press Limited

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Ilsley, C.D.J., Ablett, M.B. (1987). Investigation and management of acute myocardial infarction. In: Fox, K.M. (eds) Ischaemic Heart Disease. Current Status of Clinical Cardiology, vol 5. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-3211-1_8

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  • DOI: https://doi.org/10.1007/978-94-009-3211-1_8

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-7941-9

  • Online ISBN: 978-94-009-3211-1

  • eBook Packages: Springer Book Archive

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