What is the clinical evidence from this study?

Study design: Observational. Population: Suspected acute coronary syndrome (n=538). Primary outcome: Development of acute coronary syndrome or acute myocardial infarction.

May 1, 2003Coronary Artery Disease

Predictors of myocardial damage prior to hospital admission among patients with acute chest pain or other symptoms raising a suspicion of acute coronary syndrome

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Key result

Pre-hospital ECG ST elevation (P<0.0001) and CKMB elevation (P=0.005) significantly predicted the development of acute coronary syndrome, which occurred in 57.3% of suspected cases.

Population

538 patients who called for an ambulance due to suspected acute coronary syndrome in Stockholm and Göteborg…

Design

Cohort

Authors

LSLeif SvenssonCross-Cutting Cardiology LILeif IssonStockholm South General Hospital CAChrister AxelssonSahlgrenska University Hospital

Discussion

Member takes

Implication

May support pre-hospital ACS triage; hypothesis-generating and requires prospective validation before practice change.

Study Design

Type

Observational (n=538)

Multicenter

Yes

Structured PICO

Population

538 patients who called for an ambulance due to suspected acute coronary syndrome in Stockholm and Göteborg, mean age 69 years, 58% men.

Outcome

Development of acute coronary syndrome or acute myocardial infarctionhard clinical

Pre-hospital clinical history, ECG changes, and bedside biochemical markers can independently predict the development of acute coronary syndrome or acute myocardial infarction in patients with suspected ACS.

Cite This Study

Svensson et al. (2003) conducted an observational in Suspected acute coronary syndrome (n=538). Pre-hospital ECG ST elevation (P<0.0001) and CKMB elevation (P=0.005) significantly predicted the development of acute coronary syndrome, which occurred in 57.3% of suspected cases.

synapsesocial.com/papers/6a07b45744ff8ad339f69ace https://doi.org/10.1097/01.mca.0000063503.13456.0d

View Full Paper

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Predictors of myocardial damage prior to hospital admission among patients with acute chest pain or other symptoms raising a suspicion of acute coronary syndrome

Discussion

Member takes

Implication

Study Design

Structured PICO

Cite This Study

Predictors of myocardial damage prior to hospital admission among patients with acute chest pain or other symptoms raising a suspicion of acute coronary syndrome

Discussion

Member takes

Implication

Study Design

Structured PICO

Cite This Study

Also Consider

Also Consider