Bornheimer J, de Guzman M, Haywood L J
Arch Intern Med. 1975 Aug;135(8):1035-8.
Clinical records of 48 patients who died suddenly and unexpectedly following coronary care unit discharge were analyzed. Twenty-five had myocardial infarction as sole cause of death and 23 had other contributing entitles. Patients with moderate to severe congestive heart failure had a higher total incidence of specific dysrhythmias in the coronary care unit compared to others. Large infarctions involving the anterior wall, especially in patients with moderate to severe heart failure in the coronary care unit, were negative prognostic factors. Serious dysrhythmias occurred with greater frequency in patients with moderate to severe congestive heart failure compared to others. Degree of congestive heart failure was not related to death among patients with atrioventricular block in the coronary care unit. Monitoring after the coronary care unit (Intermediate coronary care unit) may further reduce mortality.
对48例在冠心病监护病房出院后突然意外死亡患者的临床记录进行了分析。25例患者的唯一死因是心肌梗死，23例有其他相关病因。与其他患者相比，中度至重度充血性心力衰竭患者在冠心病监护病房特定心律失常的总发生率更高。累及前壁的大面积梗死，尤其是冠心病监护病房中中度至重度心力衰竭患者，是不良预后因素。与其他患者相比，中度至重度充血性心力衰竭患者严重心律失常的发生频率更高。在冠心病监护病房发生房室传导阻滞的患者中，充血性心力衰竭程度与死亡无关。冠心病监护病房后的监测（中间冠心病监护病房）可能会进一步降低死亡率。
