JOHN H. GUSS, M.D., F.A.C.P.
The alleviation of shock in myocardial infarction is often the most important therapeutic aim, and may be the most important factor in determining the outcome. It probably occurs in about one-fourth of all cases of myocardial infarction but usually does not persist beyond 3 or 4 days. In a recent review of 2,955 cases (1) there was an incidence of shock in 23 per cent, and a mortality rate of 59 per cent for those in shock. The problem of shock did not persist beyond 72 to 96 hours in most of these patients. By then the patient was either
GUSS JH. Chronic Shock after Myocardial Infarction, Its Mechanisms and Management. Ann Intern Med. ;58:333–336. doi: 10.7326/0003-4819-58-2-333
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Published: Ann Intern Med. 1963;58(2):333-336.
Acute Coronary Syndromes, Cardiology, Coronary Heart Disease, Emergency Medicine.
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