Evolution et pronostic de l'infarctus du myocarde

ABSTRACT

1000 patients with myocardial infarction between 1975 and june 1991 were admitted in the cardiac unit at the university hospital in Sfax. The mean age is 60 years, with a masculine predominance [86%]. The time between, onset admission is long, 47.4% were admitted within 24 h after onset and 16.5% within 6 h after onset. The site of MI was more often in anterior region [58.6%] against 36% in the posterior region Evolution was favorable in 34.7% of cases, 36.5% cases of left cardiac failure were noted, and 11.7% of cardiogenic shock rythme disorders were noted in 34.6% of cases [under estimated] and conduction disorders were noted in 22% of cases. Early mortality is about 17.4% occuring more often during the first 3 days