Abstract
Initially, myocardial infarction resulting from coronary occlusion was regarded as a rapidly fatal condition. This impression was probably well substantiated by the diagnoses of preelectrocardiographic days, seldom made except in cases of the most severe form. This attitude persists despite the numerous more optimistic prognosticators; perhaps it is best that all clinicians have a wholesome respect for this serious disease and that therefore they be more than ordinarily cautious in its treatment. On the other hand, one must realize the virtue of presenting a favorable life expectancy to the patient recovering from myocardial infarction. Herrick 1 was the first (1912) to lend a gleam of hope to the situation by assuming the possibility of a long period of survival after recovery. Electrocardiography clarified the diagnostic difficulty; the development of the method was rapid, and its accuracy has been proved, so that statistical evaluation of the life expectancy after recovery from
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