| Abstract: | In 1971, altogether 266 acute coronary accidents in persons aged up to 65 years were recorded among the population of the City of Plzen. Of this number, 25% of men and 18% of women died during the prehospitalization phase. 203 persons were admitted to hospital: the development of their disease was followed up for three years in correlation with initial clinical and laboratory findings. Within these three years, the total mortality was 50% in men and 43% in women. Of the symptoms found within the first three days of hospitalization, the following ones appeared to be most significant prognostically: 1) sinus and ventricular arrhythmias, 2) congestive heart failure, 3) ECG changes, mainly pathological Q wave, left branch block, deeply negative T waves; 4) unfavourable for the three-years prognosis were histories of repetitive myocardial infarction, angina pectoris, hypertension, and diabetes mellitus; favourable for three-year prognosis were initial blood pressures 141--160/81--100 mmHg and heart rates 61--80/min. Such findings may serve for patients' classification for differentiated care in the postinfarction period. |
