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The Myth of Acute "Mild" Myocardial Infarction
- JOHN E. MADIAS, M.D.; and
- RICHARD GORLIN, M.D., F.A.C.C.
Abstract
Patients with acute myocardial infarction and an uncomplicated early clinical course are often thought to have suffered a mild myocardial infarction. There is also a tendency to link ECG changes suggestive of nontransmural necrosis with such a benign clinical course. Recent work proves that such patients have the same short- and long-term prognosis, similar angiographic and hemodynamic patterns, and deserve management identical to that for patients with transmural myocardial infarction. It is hoped that by combining the older modalities with new diagnostic methods it will be possible to quantitate the magnitude of old and new myocardial ischemic necrosis on which prognosis to a great extent is based.
Article and Author Information
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▸From the Cardiology Division of the Thorndike Memorial Laboratory and the Department of Medicine, Boston City Hospital, Boston, Massachusetts; and the Department of Medicine, Mount Sinai School of Medicine of the City University of New York.
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▸Requests for reprints should be addressed to Richard Gorlin, M.D.; Department of Medicine, Mount Sinai School of Medicine of the City University of New York; New York, NY 10029.
