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Harrison's Principles of Internal Medicine, 18e
| Part 10. Disorders of the Cardiovascular System > Section 5. Vascular Disease > |
Chapter 245. ST-Segment Elevation Myocardial Infarction
Sections: ST-Segment Elevation Myocardial Infarction: Introduction, Pathophysiology: Role of Acute Plaque Rupture, Clinical Presentation, Laboratory Findings, Initial Management, Management in the Emergency Department, Hospital Phase Management, Pharmacotherapy, Complications and Their Management, Postinfarction Risk Stratification and Management, Secondary Prevention, Further Readings.
Topics Discussed: acute coronary syndromes; ischemic heart disease; st-segment elevation mi.
Excerpt:"Acute myocardial infarction (AMI) is one of the most common diagnoses in hospitalized patients in industrialized countries. In the United States, approximately 650,000 patients experience a new AMI and 450,000 experience a recurrent AMI each year. The early (30-day) mortality rate from AMI is  30%, with more than half of these deaths occurring before the stricken individual reaches the hospital. Although the mortality rate after admission for AMI has declined by 30% over the past two decades, approximately 1 of every 25 patients who survives the initial hospitalization dies in the first year after AMI. Mortality is approximately fourfold higher in elderly patients (over age 75) as compared with younger patients...."
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