Discrimination of patients with type 2 myocardial infarction
Why the study?
Can a clinical decision tool based on clinical and laboratory parameters differentiate type 1 from type 2 myocardial infarction in patients with suspected MI?
Population
1548 patients with suspected myocardial infarction
Design
Cohort
Follow-up
up to 2 years
Authors
Discussion
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Member takes
Implication
May support differentiation of T1MI from T2MI via simple score; leaves open prospective validation before clinical use.
Structured PICO
Can a clinical decision tool based on clinical and laboratory parameters differentiate type 1 from type 2 myocardial infarction in patients with suspected MI?
P
Population
1548 patients with suspected myocardial infarction
I
Intervention
Diagnostic prediction model (score) based on female sex, lack of radiating chest pain, and baseline high-sensitivity troponin I concentration ≤ 40.8 ng/L
O
Outcome
Discrimination between type 1 and type 2 myocardial infarction, and mortality
A simple clinical score using sex, chest pain characteristics, and baseline troponin levels can help differentiate type 2 from type 1 myocardial infarction, identifying a high-risk population.
Cite This Study
Neumann et al. (2017) studied this question.