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Myocardial infarction

Prevalence
Clinical features
Differential diagnosis
Investigations
Therapy
Prevention
Prognosis
Prognosis

Death

The risk of dying is increased with   

  • an anterior myocardial infarction a b
  • a Q wave infarct b

Why?

An anterior MI or Q wave MI increases the risk of dying

Patient Prognostic Factor Outcome CER OR
(95% CI)
NNF+
(95% CI)
myocardial infarction a anterior MI
independent
death
at uncertain duration
11% 1.57
(1.26 to 1.96)
19
(12 to 40)
first myocardial infarction b non-Q wave infarct
independent
death
at uncertain duration
4.0% 0.08
(0.03 to 0.23)
-27
(-33 to -26)

Expiry date: November 2003
Levels of Evidence used in grading these guides

Author   CM   Ball , N   Shenker
Reviewer   S   Straus
CAT Writers   CJ   Wotton , N   Shenker , B   Phillips , CM   Ball