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OBJECTIVE A previous history of hypertension is overrepresented among patients with ischaemic heart disease. The present study aims at describing the influence of a previous history of hypertension upon the prognosis among patients hospitalized due to acute myocardial infarction. METHODS Patients were followed for 1 year. Mortality and morbidity are described during hospitalization and after discharge from hospital. METHODS Sahlgrenska Hospital, serving half of the area of Gothenburg in Sweden. METHODS All patients admitted to Sahlgrenska Hospital during 21 months due to acute myocardial infarction regardless of age and whether they were admitted to the coronary care unit. RESULTS Among all patients with confirmed acute myocardial infarction (n = 917) a previous history of hypertension was reported in 324 patients. Hypertensives more frequently had a previous history of acute myocardial infarction, angina pectoris, congestive heart failure and diabetes mellitus. Their mortality during hospitalization was similar to that in normotensives. However, the total mortality during 1 year of follow-up was 35% in hypertensives and 25% for normotensives (P < 0.01), and a previous history of hypertension was an independent risk indicator for death after discharge from hospital. Place and mode of death appeared similar in normotensives and hypertensives. Reinfarction was twice as common in hypertensives as in normotensives, and a previous history of hypertension was an independent risk indicator for reinfarction. CONCLUSIONS Among patients with acute myocardial infarction a previous history of hypertension indicates a poor prognosis, one-third of patients dying and one-quarter developing reinfarction during the first year after onset of acute myocardial infarction.
J Herlitz, and
B W Karlson, and
A Richter, and
O Wiklund, and
D Jablonskiene, and
A Hjalmarson
April 1974,
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J Herlitz, and
B W Karlson, and
A Richter, and
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D Jablonskiene, and
A Hjalmarson
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J Herlitz, and
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J Herlitz, and
B W Karlson, and
A Richter, and
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A Hjalmarson
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J Herlitz, and
B W Karlson, and
A Richter, and
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D Jablonskiene, and
A Hjalmarson
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J Herlitz, and
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O Wiklund, and
D Jablonskiene, and
A Hjalmarson
January 1973,
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