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May 1, 1990HeartOpen Access

Six year follow up of a consecutive series of patients presenting to the coronary care unit with acute chest pain: prognostic importance of the electrocardiogram.

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Key result

Electrocardiogram findings such as Q wave infarction and reciprocal changes in patients with acute myocardial infarction were associated with higher 6-year mortality (overall AMI mortality 36%).

Why the study?

What is the prognostic importance of the admission electrocardiogram and clinical factors for long-term mortality in patients presenting to the coronary care unit with acute chest pain?

Population

536 consecutive patients admitted to a coronary care unit with acute chest pain

Design

Cohort

Follow-up

6 years

Authors

MMM MetcalfeThe University of QueenslandJRJohn RawlesUniversity of AberdeenCSC ShirreffsUniversity of Aberdeen

Discussion

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Implication

Admission ECG may refine long-term AMI risk stratification; leaves open whether it guides interventions.

Study Design

Type

Cohort (n=536)

Structured PICO

What is the prognostic importance of the admission electrocardiogram and clinical factors for long-term mortality in patients presenting to the coronary care unit with acute chest pain?

P
Population
536 consecutive patients admitted to a coronary care unit with acute chest pain (diagnoses included acute myocardial infarction, myocardial ischaemia, pericarditis, and non-cardiac causes)
O
Outcome
Six year mortalityhard clinical

The admission electrocardiogram provides significant prognostic information for 6-year mortality in patients presenting to the coronary care unit with acute myocardial infarction.

Cite This Study

Metcalfe et al. (1990) conducted a cohort in acute chest pain (n=536). Electrocardiogram was evaluated on Six year mortality. Electrocardiogram findings such as Q wave infarction and reciprocal changes in patients with acute myocardial infarction were associated with higher 6-year mortality (overall AMI mortality 36%).

synapsesocial.com/papers/6a170dff25571367076bee53https://doi.org/10.1136/hrt.63.5.267

Topics

Pericardial disease
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