PMID: 9422186Jun 1, 1995Paper

Outcome for patients who call for an ambulance for chest pain in relation to the dispatcher's initial suspicion of acute myocardial infarction

European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine
Johan HerlitzT Karlsson

Abstract

The very early handling of patients with suspected acute myocardial infarction (AMI) is of critical importance to the outcome. The aim of this study was to relate the dispatcher's initial suspicion of AMI, among patients who call for an ambulance due to chest pain, to the subsequent diagnosis and outcome. All patients who called for an ambulance in Gothenburg due to acute chest pain during a 2-month period were included in the study. In all, 503 patients fulfilled the inclusion criteria, and information on the dispatcher's initial suspicion of AMI was available in 484 patients. There was at least a strong suspicion of AMI in 36%, a moderate suspicion of AMI in 34% and only a vague or no suspicion in 30%. Among patients with at least a strong suspicion of AMI, 29% subsequently developed infarcation, compared with 18% among patients with a moderate suspicion of AMI and 15% among patients with only a vague or no suspicion (p < 0.001). However, the priority level was similar in patients with and without a life-threatening condition, and the mortality rate remained similar in patients with a strong suspicion and those without a strong suspicion of AMI. Thus, among patients who called for an ambulance due to acute chest pain there wa...Continue Reading

Citations

Feb 5, 2003·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Michael J SchullDonald A Redelmeier
Sep 8, 2010·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Johan HerlitzChristian Blomstrand
Apr 16, 2014·The American Journal of Emergency Medicine·Nguyen Dang ThangBjörn Wilgot Karlson
Nov 3, 2010·International Journal of Cardiology·Johan HerlitzBirgitta Wireklint-Sundström
Sep 1, 2004·The American Journal of Medicine·Andrea Akita Chun, Steven R McGee
Sep 14, 2006·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Martin GellerstedtJohan Herlitz
Jul 23, 2005·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Jon C RittenbergerPaul M Paris
Jan 16, 2002·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Sue WilsonUNKNOWN Emergency Medicine Research Group (EMeRG)

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