Key result
Patients with acute chest pain in whom myocardial infarction was ruled out had a similar rate of MI or death at 27.8 months compared to those with documented MI (21.6% vs 21.8%).
Why the study?
Do patients hospitalized with acute chest pain in whom myocardial infarction has been ruled out have a better prognosis than those surviving a documented infarction?
Population
211 consecutive admissions to the Stanford Coronary Care Unit hospitalized with acute chest pain…
Comparison
Hospitalization for acute ischemic chest pain… vs Hospitalization with a documented myocardial…
Design
Cohort
Follow-up
mean 27.8 months
Authors
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Patients with ruled-out MI may need equivalent vigilance; leaves open optimal secondary prevention strategies.
Cohort (n=211)
No
Do patients hospitalized with acute chest pain in whom myocardial infarction has been ruled out have a better prognosis than those surviving a documented infarction?
Absolute Event Rate: 21.6% vs 21.8%
Patients hospitalized with acute ischemic chest pain without an evolving myocardial infarction have a similar long-term prognosis for death or subsequent infarction as those surviving an acute myocardial infarction.
Schroeder et al. (1980) conducted a cohort in Acute chest pain (n=211). Myocardial infarction ruled out vs. Documented myocardial infarction was evaluated on Myocardial infarction or death. Patients with acute chest pain in whom myocardial infarction was ruled out had a similar rate of MI or death at 27.8 months compared to those with documented MI (21.6% vs 21.8%).
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