What does this research mean for the field?

Optimal management of cardiac pain at rest requires knowledge of coronary anatomy, where patients responding to initial medical treatment can undergo elective angiography, while those with continuing pain require and can safely undergo urgent angiography. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

January 1, 1981HeartOpen Access

Cardiac pain at rest. Management and follow-up of 100 consecutive cases.

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Why the study?

What are the clinical outcomes and optimal management strategies for patients presenting with cardiac pain at rest without recent myocardial infarction?

Population

100 consecutive patients admitted to the coronary care unit with cardiac pain at rest but no evidence of…

Design

Cohort

Follow-up

9 to 26 (mean 14) months

Authors

NBN H BrooksWythenshawe Hospital CWCarole A. WarnesAdult Congenital Heart Disease MCM. CattellLondon Chest Hospital

Discussion

Member takes

Implication

Initial medical stabilization may suffice for most; leaves open optimal revascularization timing in refractory cases pending RCTs.

Structured PICO

What are the clinical outcomes and optimal management strategies for patients presenting with cardiac pain at rest without recent myocardial infarction?

Population

100 consecutive patients admitted to the coronary care unit with cardiac pain at rest but no evidence of recent myocardial infarction

Intervention

Initial medical treatment (bed rest, beta-adrenergic blockade, and nitrates) followed by selective coronary angiography and bypass surgery

Outcome

Clinical outcomes including death, myocardial infarction, and recurrent angina or symptom-free statushard clinical

Patients with cardiac pain at rest can often be stabilized medically, but those with continuing pain require urgent angiography and may benefit from bypass surgery.

Cite This Study

Brooks et al. (1981) studied this question.

synapsesocial.com/papers/6a1471bf2398cfa26a89927c https://doi.org/10.1136/hrt.45.1.35

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January 1, 1981HeartOpen Access

Cardiac pain at rest. Management and follow-up of 100 consecutive cases.

View Full Paper

Ask AI

Bookmark

Why the study?

What are the clinical outcomes and optimal management strategies for patients presenting with cardiac pain at rest without recent myocardial infarction?

Population

100 consecutive patients admitted to the coronary care unit with cardiac pain at rest but no evidence of…

Design

Cohort

Follow-up

9 to 26 (mean 14) months

Authors

NBN H BrooksWythenshawe Hospital CWCarole A. WarnesAdult Congenital Heart Disease MCM. CattellLondon Chest Hospital

Discussion

Member takes

Implication

Initial medical stabilization may suffice for most; leaves open optimal revascularization timing in refractory cases pending RCTs.

Structured PICO

What are the clinical outcomes and optimal management strategies for patients presenting with cardiac pain at rest without recent myocardial infarction?

Population

100 consecutive patients admitted to the coronary care unit with cardiac pain at rest but no evidence of recent myocardial infarction

Intervention

Initial medical treatment (bed rest, beta-adrenergic blockade, and nitrates) followed by selective coronary angiography and bypass surgery

Outcome

Clinical outcomes including death, myocardial infarction, and recurrent angina or symptom-free statushard clinical

Patients with cardiac pain at rest can often be stabilized medically, but those with continuing pain require urgent angiography and may benefit from bypass surgery.

Cite This Study

Brooks et al. (1981) studied this question.

synapsesocial.com/papers/6a1471bf2398cfa26a89927c https://doi.org/10.1136/hrt.45.1.35

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

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