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Integration Into the Overall System of Coronary Care

Harold G. Danford, MD; David A. Danford; John E. Mielke, MD; Thomas A. Ryan, MD; Lowell F. Peterson, MD

JAMA. 1973;223(9):998-1001.

Abstract
A system of continuous remote electrocardiographic monitoring, from four small hospitals to a central hospital coronary care unit, was applied to 130 patients with confirmed acute myocardial infarctions. The mortality survey of 19 months' experience with this system revealed a hospital mortality of 27%. An analysis of 149 consecutive myocardial infarctions in the same hospitals prior to the initiation of remote monitoring of the electrocardiogram showed a hospital mortality of 38%. Thirty-nine patients with myocardial infarctions who were treated concurrently with the monitored patients, but without remote monitoring, had a mortality of 44%. The two coronary care units, from which remote monitoring and medical support were provided, treated 516 cases of acute myocardial infarction during a similar interval, with a hospital mortality of 19%.

Author Affiliations
From the Department of Medicine, St. Elizabeth Hospital and Appleton Memorial Hospital, Appleton, Wis.

Footnotes
Reprint requests to 424 E Longview Dr, Appleton, Wis 54911 (Dr. Danford).

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