PMID: 11917197Mar 28, 2002Paper

Characteristics and long-term outcome of patients with acute chest pain or other symptoms raising suspicion of acute myocardial infarction in relation to whether they were hospitalized or directly discharged from the emergency department

Coronary Artery Disease
Johan HerlitzMargareta Sjölin

Abstract

To describe the characteristics and outcome of patients who came to the emergency department due to chest pain or other symptoms raising suspicion of acute myocardial infarction (AMI) in relation to whether they were hospitalized or directly discharged from the emergency department. All patients arriving to the emergency department in one single hospital due to chest pain or other symptoms raising suspicion of AMI during a period of 21 months were followed for 10 years. In all, 5362 patients fulfilled the given criteria on 7157 occasions; 3381 (63%) were hospitalized and 1981 (37%) were directly discharged. Patients who were hospitalized were older and had a higher prevalence of previous cardiovascular diseases. The mortality during the subsequent 10 years was 52.1% among those hospitalized and 22.3% among those discharged (P < 0.0001). Risk indicators for death were similar in the two cohorts. However, many of these risk indicators including age, a history of myocardial infarction, angina pectoris, congestive heart failure, hypertension, initial degree of suspicion of AMI, a pathologic electrocardiogram on admission and a confirmed AMI as underlying etiology were more strongly associated with the prognosis among patients direc...Continue Reading

Citations

Dec 31, 2010·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Sean R Wilson, James K Min
Jan 9, 2008·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Patrick K Plunkett
Nov 7, 2007·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Padma KaulPaul W Armstrong
Apr 13, 2010·The Medical Clinics of North America·Mette Jensen Stochkendahl, Henrik Wulff Christensen
Aug 19, 2007·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Dimitrios Ch TziallasMargarita D Giannakopoulou

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