Læknablaðið - 15.11.1983, Síða 44

302
LÆK.NABLADID
fyrr en viö getum tekið upp pær nýjungar sem
best reynast erlendis. Næsti áratugur mun
endurspegla nýtíðni sjúkdómsins betur, en að
auki mun byrja að koma í ljós árangurinn af
vaxandi skurðaðgerðum pessa áratugar. Þá
verður væntanlega hægt að gera sér grein
fyrir afdrifum pess stóra hóps íslendinga, sem
nú fer í hjartauppskurði til útlanda.
SUMMARY
St. Joseph’s Hospital, Reykjavik, is a 180 bed
General Hospital in Medical, Surgical, Opthalmic
and Pediatric (30 beds) Services. As such it takes
turnes with two other hospitals for one week out of
every three, in admitting acutely ill patients from
the whole country with a population of around 230
thousand.
Thus study is a retrospective review of cases with
acute myocardial infarction seen in the hospital over
a 5 year period 1976-80. The diagnostic criteria used
are those of WHO.
The hospital keeps a common diagnostic file and
the study includes patients in all departments and
not only those in the Medical Department. Included
are, therefore, people who were admitted for
surgical reasons and who died suddenly without
having had any indication of coronary artery
disease. AIso included are several old nursing care
patients who were initially admitted for a variety of
reasons other than myocardial infarction. Patients
dead on arrival are included if cardiac resuscitation
was attemtted.
The figures and tables are mostly self-explanato-
ry. The study involves 369 admissions of 354
patients, 238 males and 131 females. 75 patients died
(20.3 %). The mortality rate of males was 15.9 %
and of females 28.2% (P<0.05). The mortality of
patients admitted because of myocardial infarction
was 16.9% (males 14.3%, females 21.9%) but of
those suffering myocardial infarction while in the
hospital for a variety of other reasons was 48.7 %
(males 31.8 %, females 70.6 %).
The mortality figures are similar to those of other
hospitals in Reykjavik.
HEIMILDIR
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í kransæðum og heilaæðum á íslandi 1951-1979.
Ráðstefna um rannsóknir í Læknadeild Háskóla
Íslands 7. mars 1981.
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