Læknablaðið - 15.04.1990, Side 52

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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.
HEIMILDIR
1. Þorsteinsson SB, Harðarson Þ, Samúelsson S. 151
sjúklingur með kransæðastíflu á lyflækningadeild
Landspítalans 1966-1968. Læknablaðið 1971; 57:
255-75.
2. Þorsteinsson SB, Harðarson Þ, Samúelsson S. 94
sjúklingar með kransæðastíflu á lyflækningadeild
Landspítalans 1.1.1969-1.4.70. Læknablaðið 1973;
59: 3-7.
3. Þórðarson ÓÞ, Baldvinsson E. Kransæðastífla.
Læknablaðið 1969; 55: 201-18.
4. Guðmundsson S, Baldvinsson E, Oddsson G,
Harðarson Þ. Sjúklingar með kransæðastíflu á
Borgarspítala 1972-1975. Læknablaðið 1979; 65: 123-
31.
5. Lárusson G, Steinsen H, Þórðarson Þ. Kransæðastífla
á Landakotsspítala. 10 ára yfirlit (1966-1975).
Læknablaðið 1978; 5: 27-36.
6. Bjamason GA, Lárusson G, Steinsen H, Jónsson
A. Kransæðastífla á Landakotsspítala Í976-1980.
Læknablaðið 1983; 69: 298-302.
7. Bjömsdóttir US, Thorlacius S, Jónsson Á, Lámsson
G. Kransæðastífla á Landakotsspítala 1981-1985.
Læknablaðið 1988; 74: 241-3.
8. World Health Organization: Proposal for the
multinational monitoring of trends and determinants
in cardiovascular desease and protocol (Moniva
project). Geneva 1983 (WHO/MNC/82.1).
9. World Health Organization Expert Committee og
Diabetes Mellitus. 1980 WHO Technical Report
Series No 648, Geneva WHO.
10. Hirlekar G, Ólafsson V, Pétursson S, Guðbrandsson
Þ. Reynsla af lungnaslagæðarþræðingum (Swan Ganz)
á gjörgæsludeild Fjórðungssjúkrahússins á Akureyri
1983-1986. Læknablaðið 1987; 73: 64-6.
11. Reznik R, Ring I, Fletcher P, Berry G. Mortality
from myocardial infarction in different types of
hospitals. British Medical Joumal, 1987; 294: 1121-5.