Why the study?
Does presenting with dyspnea compared to chest pain predict higher mortality in patients suspected of myocardial infarction in the prehospital setting?
Population
17,398 patients undergoing electrocardiogram-based telemedical triage because of suspected myocardial…
Comparison
Presentation with dyspnea as the primary symptom vs Presentation with chest pain as the primary…
Design
Cohort
Follow-up
median 2.4 years (IQR: 1.3 - 3.7)
Authors
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Dyspnea signals higher prehospital mortality risk in suspected MI; confirms association but leaves open need for dedicated algorithms and trials.
Does presenting with dyspnea compared to chest pain predict higher mortality in patients suspected of myocardial infarction in the prehospital setting?
Patients suspected of myocardial infarction presenting with dyspnea in the prehospital setting have a significantly higher short- and long-term mortality than those presenting with chest pain, highlighting the need for improved prehospital triage and management.
Bøtker et al. (2016) studied this question.
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