Why the study?
To determine characteristic features of myocardial infarction diagnosed at autopsy and establish the incidence of discrepancy.
What is the incidence of clinicopathologic discrepancy in cases of acute myocardial infarction diagnosed at autopsy?
Population
529 autopsy cases at a tertiary hospital
Comparison
Pathologic diagnosis of acute MI vs clinical impression
Design
Retrospective autopsy study
Authors
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Autopsy data show 21% major discrepancies in fatal MI; leaves open the clinical burden of unrecognized type 2 events.
What is the incidence of clinicopathologic discrepancy in cases of acute myocardial infarction diagnosed at autopsy?
Autopsy remains a valuable tool, revealing that a notable subset of fatal MIs are type 2 (without plaque disruption) and frequently missed or misdiagnosed clinically.
Sathirareuangchai et al. (2019) studied this question.
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