Occurrence, characteristics, and outcome of patients hospitalized with a diagnosis of acute myocardial infarction who do not fulfill traditional criteria

Clinical Cardiology
J HerlitzW Sandén

Abstract

The diagnosis of acute myocardial infarction (AMI) is traditionally based on clinical history, elevation of serum enzyme activity, and typical changes in the electrocardiogram (ECG); however, not all patients who develop AMI fulfill these criteria on discharge from hospital. The aim of the study was to evaluate (1) the frequency with which the traditional criteria for AMI are not fulfilled among patients diagnosed with AMI on discharge, and (2) whether patients with and without these criteria differ in terms of characteristics, treatment, and outcome. All patients aged < 75 years and hospitalized in the municipality of Göteborg with a discharge diagnosis of AMI were included. Fulfillment criteria for AMI were two of the following three points: (1) chest pain, (2) increase in cardiac enzymes, and (3) development of Q waves. In all, 1,188 admitted patients, 27% of whom were women, were included in the analysis. Of these, 193 (16%) did not fulfill the traditional criteria for AMI. These patients had an in-hospital mortality rate of 48%; of these, 59% died a sudden death, and of those who were autopsied (62%), 96% showed signs of a fresh AMI. The most common symptom on admission to hospital in patients who did not fulfill the tradi...Continue Reading

References

May 1, 1976·Annals of Internal Medicine·J H Medalie, U Goldbourt
Oct 1, 1977·The American Journal of Cardiology·B F UretskyW B Hood
Jul 1, 1991·European Heart Journal·P Mølstad

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Citations

Aug 29, 2012·Australian Dental Journal·S H Danesh-SaniS Faghihi
Jan 2, 2007·The Journal of the American Dental Association·Marcelo KreinerAnnika Isberg
Dec 11, 2007·Best Practice & Research. Clinical Rheumatology·Marta MoscaStefano Bombardieri
Sep 25, 2010·Autoimmunity Reviews·Marta MoscaStefano Bombardieri

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