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Uncomplicated Myocardial InfarctionCurrent Physician Practice in Patient Management
Nanette K. Wenger, MD;
Herman K. Hellerstein, MD;
Henry Blackburn, MD;
Samuel J. Castranova, MS
JAMA. 1973;224(4):511-514.
Abstract
A questionnaire on management of uncomplicated acute myocardial infarction patients was mailed to 1,200 general practitioners, 1,200 internists, and 1,200 cardiologists. The 69% who responded managed approximately 70,000 patients with acute myocardial infarction in 1970. General practitioners saw three-fifths of these patients. Of acute myocardial infarction patients, 45% were considered to have uncomplicated infarction. Most responses were similar for general practitioners, internists, and cardiologists, who routinely hospitalized 95% of uncomplicated acute myocardial infarction patients for a 21-day hospital stay. Of physicians, 97% restricted smoking, 77% restricted calories, and 71% used anticoagulants. Of patients under age 65, 87% returned to work two to four months after uncomplicated myocardial infarction.
Author Affiliations
From Emory University School of Medicine and Grady Memorial Hospital, Atlanta (Dr. Wenger); Case Western Reserve University, Cleveland (Dr. Hellerstein); University of Minnesota, Minneapolis (Dr. Blackburn); and the Department of Statistics and Data Processing, American Heart Association, New York (Mr. Castranova).
Footnotes
Reprint requests to Emory University School of Medicine, 69 Butler St SE, Atlanta 30303 (Dr. Wenger).
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