Læknablaðið - 15.04.1990, Blaðsíða 52

222
LÆKNABLAÐIÐ
SUMMARY
Myocardial infarction in the Medical Department of
FSA 1984-1986.
There were 166 cases of acute myocardial
infarctions in 145 patients during these three
years. Men were 105 and women 61 (sex ratio
1.7/1). Mean age was 69 years (women 73, men
67). Forty seven patients younger than 70 years
were admitted during the first 4 hours after the
symptoms started. Only seven were treated with
streptokinase. Sixteen women (27%) and 16
men (15%) died during the hospital stay (death
rate 19%). One hundred patients had their first
infarction but 66 (40%) were having reinfarctions.
The mean hospital stay was 15.3 days (men 13.8,
women 17.6). One hundred and three patients
(62%) had arhythmias and late arhythmias were
prognostically more sinister. Fifty nine patients had
heart failure and 23 (39%) died. Thirty patients
had cardiogenic shock and 20 (67%) died. Sixty
seven % of the men were smokers but 39% of
women. High blood pressure and diabetes mellitus
were also common in our patients or 53% and 18%
respectively. A data sheet intended to improve the
recording of clinical events is presented.
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