Evidence-Based Coronary Care
Authors: Eugene Braunwald
Journal: Annals of Internal Medicine (1997)

Editorials1 April 1997Evidence-Based Coronary CareEugene Braunwald, MD and Elliott M. Antman, MDEugene Braunwald, MDBrigham and Women's Hospital, Boston, MA 02115Dr. Antman: Cardiovascular Division, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115. and Elliott M. Antman, MDBrigham and Women's Hospital, Boston, MA 02115Dr. Antman: Cardiovascular Division, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-126-7-199704010-00009 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Since Herrick's classic description of acute myocardial infarction was published in 1912, the management of this condition has gone through four phases. The first, which may be called the "clinical observation phase" of coronary care, lasted about half a century and consisted of the simple assessments that were possible at that time. Vital signs were recorded frequently, especially on the first day after infarction; clinical examinations were done and electrocardiograms were obtained daily for the first few days; and chest roentgenograms were obtained once or twice a week. The infarcted heart was considered to be a wounded organ, the repair ...References1. Julian DG. The history of coronary care units. Br Heart J. 1987; 57:497-502. Google Scholar2. Swan HJ, Ganz W, Forrester J, Marcus H, Diamond G, Chonette D. Catheterization of the heart in man with use of a flow-directed balloon-tipped catheter. N Engl J Med. 1970; 283:447-51. Google Scholar3. Braunwald E. Reduction of myocardial-infarct size [Editorial]. N Engl J Med. 1974; 291:525-6. Google Scholar4. Laffel GL, Braunwald E. Thrombolytic therapy. A new strategy for the treatment of acute myocardial infarction. N Engl J Med. 1984; 311:710-7. Google Scholar5. Peterson ED, Shaw LJ, Califf RM. Risk stratification after myocardial infarction. Ann Intern Med. 1997; 126:561-82. Google Scholar6. Antman EM, Braunwald E. Acute myocardial infarction. In: Braunwald E, ed. Heart Disease: A Textbook of Cardiovascular Medicine. 5th ed. Philadelphia: WB Saunders; 1997: 1184-1288. Google Scholar7. Ryan TJ, Anderson JL, Antman EM, Braniff BA, Brooks NH, Califf RM, et al. ACC/AHA guidelines for the management of patients with acute myocardial infarction. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Management of Acute Myocardial Infarction). J Am Coll Cardiol. 1996; 28:1328-428. Google Scholar8. Hillis LD, Forman S, Braunwald E. Risk stratification before thrombolytic therapy in patients with acute myocardial infarction. The Thrombolysis in Myocardial Infarction (TIMI) Phase II Co-Investigators. J Am Coll Cardiol. 1990; 16:313-5. Google Scholar9. Lee KL, Woodlief LH, Topol EJ, Weaver WD, Betriu A, Col J, et al. Predictors of 30-day mortality in the era of reperfusion for acute myocardial infarction. Results from an international trial of 41,021 patients. GUSTO-I Investigators. Circulation. 1995; 91:1659-68. Google Scholar10. Heart and Stroke Facts. 1996 Statistical Supplement. Dallas: American Heart Assoc; 1996. Google Scholar11. Emergency department: rapid identification and treatment of patients with acute myocardial infarction. National Heart Attack Alert Program Coordinating Committee, 60 Minutes to Treatment Working Group. Ann Emerg Med. 1994; 23:311-29. Google Scholar Author, Article, and Disclosure InformationAffiliations: Brigham and Women's Hospital, Boston, MA 02115Dr. Antman: Cardiovascular Division, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115.Corresponding Author: Eugene Braunwald, MD, Brigham and Women's Hospital, 75 Francis Street, Mid Campus 4, Boston, MA 02115.Current Author Addresses: Dr. Braunwald: Brigham and Women's Hospital, 75 Francis Street, Mid Campus 4, Boston, MA 02115.Corresponding Author: Eugene Braunwald, MD, Brigham and Women's Hospital, 75 Francis Street, Mid Campus 4, Boston, MA 02115.Current Author Addresses: Dr. Braunwald: Brigham and Women's Hospital, 75 Francis Street, Mid Campus 4, Boston, MA 02115. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoCLINICAL GUIDELINE: PART I: Guidelines for Risk Stratification after Myocardial InfarctionClinical Guideline: Part II: Risk Stratification after Myocardial Infarction Eric D. Peterson , Leslee J. 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Evidence-based medicine: A passing fancy or the future of primary care? 1 April 1997Volume 126, Issue 7Page: 551-553KeywordsAcute myocardial infarctionAngiographyArrhythmiaCoronary revascularizationDeath ratesElectrocardiographyExerciseHeart failureInfarctionPatients Issue Published: 1 April 1997 Copyright & PermissionsCopyright © 1997 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...