September 1, 1984European Heart Journal
The entry ECG in the early diagnosis and prognostic stratification of patients with suspected acute myocardial infarction
Why the study?
Does the entry ECG predict confirmed MI and mortality or complications in patients with suspected uncomplicated MI?
Population
475 patients with suspected uncomplicated myocardial infarction (MI)
Comparison
Entry ECG showing significant ST elevation vs Entry ECG showing ST depression or T inversion…
Design
Cohort
Authors
Discussion
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Member takes
Implication
Entry ECG findings associated with MI confirmation and mortality; hypothesis-generating for risk stratification pending prospective validation.
Structured PICO
Does the entry ECG predict confirmed MI and mortality or complications in patients with suspected uncomplicated MI?
P
Population
475 patients with suspected uncomplicated myocardial infarction (MI)
I
Intervention
Entry ECG showing significant ST elevation (group 1)
C
Comparator
Entry ECG showing ST depression or T inversion (group 2a) or normal ECG (group 2b)
O
Outcome
Confirmation of MI, MI size, in-hospital complications, and short-term and long-term mortalityhard clinical
The entry ECG is a simple and effective tool for predicting confirmed MI and identifying high-risk patients among those presenting with suspected uncomplicated MI.
Cite This Study
Yusuf et al. (1984) studied this question.