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Abstracts |

Coronary Care and the Community.

Desmond G. Julian, M.R.C.P.
Ann Intern Med. 1968;68(5):1157. doi:10.7326/0003-4819-68-5-1157_1
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The coronary care unit of the Royal Infirmary, Edinburgh, appears, like its counterparts elsewhere, to have effected a substantial lowering of mortality in patients with acute myocardial infarction. However, a study of acute coronary incidents in the community suggests that the advent of the Coronary Care Unit has had little impact on total coronary mortality. This comparative ineffectiveness can be attributed to the occurrence of suddent death outside hospital, to insufficiently rapid admission to the Coronary Care Unit, and to a shortage of Coronary Care Unit beds, necessitating the care of many patients in general medical wards. Improvements in mortality

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