Key result
Patients admitted to a CCU for suspected AMI had similar 3-year mortality regardless of whether AMI was confirmed (22.4%) or ruled out (18.3%).
Why the study?
Does the prognosis differ between patients admitted to a CCU for suspected AMI with and without a confirmed diagnosis?
Population
160 patients admitted to a Coronary Care Unit (CCU) due to suspected Acute Myocardial Infarction (AMI)
Comparison
Confirmed diagnosis of AMI (n=67) vs Suspected but unconfirmed diagnosis of AMI
Design
Cohort
Follow-up
3 years
Authors
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Heightened post-CCU surveillance warranted for suspected AMI regardless of confirmation; leaves open whether admission criteria or risk models require revision.
Cohort (n=160)
Does the prognosis differ between patients admitted to a CCU for suspected AMI with and without a confirmed diagnosis?
Absolute Event Rate: 22.4% vs 18.3%
Patients admitted to a CCU for suspected AMI have a similarly unfavorable prognosis whether or not the AMI diagnosis is confirmed, with the highest mortality occurring in the first 6-12 months after discharge.
Madsen et al. (1982) conducted a cohort in Suspected Acute Myocardial Infarction (n=160). Confirmed diagnosis of AMI vs. Without confirmed diagnosis of AMI was evaluated on Mortality rate during the first 3 years. Patients admitted to a CCU for suspected AMI had similar 3-year mortality regardless of whether AMI was confirmed (22.4%) or ruled out (18.3%).
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