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Association of Hypotensive State in Myocardial Infarction with Subsequent Metabolic Reponses and Mortality in Elderly Subjects
Author(s) -
Robert A. Bruce,
Henry J. Kowalski,
Gordon G. Bergy,
Thomas B. Smart,
Robert Neilsen,
Emily R. Carlson
Publication year - 1955
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/01.cir.12.2.207
Subject(s) - medicine , myocardial infarction , cardiology , blood pressure , nitrogen balance , balance (ability) , heart rate , nitrogen , physical therapy , physics , quantum mechanics
Ten elderly patients with typical findings of acute myocardial infarction were studied for two weeks on a metabolic ward. Blood pressures were determined hourly, and balances of nitrogen, water and electrolytes were computed daily. Surviving patients had higher blood pressures, lower heart rates, lost more weight, exhibited negative sodium balance and had earlier recovery from negative nitrogen and potassium balance. Early appearance of hypotension presaged clinical complications, unfavorable metabolic responses and a fatal outcome.

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