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ARTICLE |

Sudden Death in Acute Myocardial Infarction:  Relationship to Factors Affecting Delay in Hospitalization

Sidney Goldstein, MD; Arthur J. Moss, MD; William Greene, MD
Arch Intern Med. 1972;129(5):720-724. doi:10.1001/archinte.1972.00320050044004.
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Factors affecting hospitalization delay and sudden death were studied in 98 patients with acute myocardial infarction in an industrial population. History of heart disease and misinterpretation of symptoms as recurrence of angina delayed arrival to hospital. In 19 of 22 patients dying suddenly, there was a history of a previous myocardial infarction or angina. The same factors that delay hospital arrival are associated with sudden death. The use of a fixed satellite industrial coronary care unit shortened arrival time when symptoms began at work, but had an adverse effect when symptoms occurred off work. The unit did not reduce sudden death mortality.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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