Clinical features of emergency department patients presenting with symptoms suggestive of acute cardiac ischemia: A multicenter study

Journal of Thrombosis and Thrombolysis

Volumn 6, Issue 1, 1998, Pages 63-74

  Pope, J Hector ^a   Ruthazer, Robin ^a   Beshansky, Joni R ^a   Griffith, John L ^a   Selker, Harry P ^a,b  

^a TUFTS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b TUFTS MEDICAL CENTER   (United States)

Author keywords

Acute cardiac ischemia; Acute myocardial infarction; Chest pain; Clinical presentation; Diagnosis; Emergency department; Unstable angina pectoris

Indexed keywords

FIBRINOLYTIC AGENT;

ABDOMINAL PAIN; ADULT; AGED; ANGINA PECTORIS; ARTICLE; CARDIOGENIC SHOCK; CLINICAL FEATURE; CLINICAL TRIAL; DATA ANALYSIS; DIABETES MELLITUS; DIASTOLIC BLOOD PRESSURE; ELECTROCARDIOGRAM; EMERGENCY HEALTH SERVICE; EMERGENCY WARD; FEMALE; HEART INFARCTION; HEART MUSCLE ISCHEMIA; HUMAN; MAJOR CLINICAL STUDY; MALE; NAUSEA; PRIORITY JOURNAL; PULSE RATE; Q WAVE; SYNCOPE; SYSTOLIC BLOOD PRESSURE; T WAVE; THORAX PAIN; TREATMENT OUTCOME; VERTIGO;

EID: 0031680016     PISSN: 09295305     EISSN: None     Source Type: Journal    
DOI: 10.1023/A:1008876322599     Document Type: Article

References (31)

1. Heberden W. Some account of a disorder of the breast. Med Trans R Coll Phys Lond, 1772.
2. Herrick JB. Clinical features of sudden obstruction of the coronary arteries. JAMA 1912;59:2015-2020.
3. Vander Does E, Lubsen J, Poul J, et al: Acute coronary events in a general practice: objectives and design of the Imminent Myocardial Infarction. Rotterdam Study Heart Ball 7:91-98, 1976.
4. McCaig L. National Hospital Ambulatory Care Survey: 1992 Emergency Department Summary. Advanced Data, 1994;245:1-12.
5. Pozen MW, D'Agostino RB, Selker HP, Sytkowski PA, Hood WB Jr. A predictive instrument to improve coronary care unit admission practices in acute ischemic heart disease: A prospective multicenter clinical trial. N Engl J Med 1984; 310:1273-1278.
6. Goldman L, Weinberg M, et al. A computer-derived protocol to aid in the diagnosis of emergency room patients with acute chest pain. N Engl J Med 1982;307:588-596.
7. Schor S, Behar S, Modan B, Drory J, Kariv I. Disposition of presumed coronary patients from an emergency room: A follow-up study. JAMA 1976;236:941-943.
8. Lee TH, Rouan GW, Weisberg MC, et al. Clinical characteristics and natural history of patients with acute myocardial infarction sent home from the emergency room. Am J Cardiol 1987;60:219-224.
9. Pozen MW, D'Agostino RB, Mitchell JB, et al. The usefulness of a predictive instrument to reduce inappropriate admissions to the coronary care unit. Ann Intern Med 1980;92:238-242.
10. Selker HP, Pozen MW, D'Agostino RB. Optimal identification of the patient with acute myocardial ischemia in the emergency room. In Calif RM, Wagner GS, eds. Acute Coronary Care: Principles and Practice. Boston: Martinus Nijhoff, 1985:289-298.
11. Bloom B, Peterson O. End results, costs, and productivity of coronary care units. N Engl J Med 1973;288:72-78.
12. Eisenberg JM, Horowitz LN, Busch R, Arvan D, Rawnsley H. Diagnosis of acute myocardial infarction in the emergency room: A prospective assessment of clinical decision making and the usefulness of immediate cardiac enzyme determination. J Community Health 1979;4:190-198.
13. Fuchs R, Scheidt S. Improved criteria for admission to cardiac care units. JAMA 1981;246:2037-2041.
14. Tierney WM, Roth BJ, Psaty B, et al. Predictors of myocardial infarction in emergency room patients. Crit Care Med 1985;13:526-531.
15. Goldman L, Cook EF, Brand DA, et al. A computer protocol to predict myocardial infarction in emergency department patients with chest pain. N Engl J Med 1988;318:707-803.
16. McCarthy BD, Beshansky JR, D'Agostino RB, Selker HP. Missed diagnoses of acute myocardial infarction in the emergency department: Results from a multicenter study. Ann Emerg Med 1993;22:579-582.
17. NIH National Heart Attack Alert Program Working Group on the Diagnosis of Acute Cardiac Ischemia Report. Ann Emerg Med 1997;29:1-87.
18. McCarthy BD, Wong JB, Selker HP. Detecting acute cardiac ischemia in the emergency department: A review of the literature. J Gen Intern Med 1990;5:365-373.
19. Gillum RF, Fortman SP, Prineas RF, et al: International diagnostic criteria for acute myocardial infarction and stroke. Am Heart J 1984;108:150-158.
20. Campeau L: Grading of angina pectoris. Circulation 1976; 54:522-523.
21. Selker HP, et al. The use of the ACI-TIPI to assist emergency department triage of patients with chest pain or other symptoms suggestive of acute cardiac ischemia: A multicenter controlled clinical trial. In press.
22. Jayes RL, et al, Do patient's coronary risk factor reports predict acute cardiac ischemia in the emergency department? A multicenter study. J Clin Epidemiol, 1992;45: 621-626.
23. Gordon T, Sorlie P, Kannel WB. Coronary heart disease, atherothrombotic brain infarction, intermittent claudication - a multivariate analysis of some factors related to their incidence: Framingham study, 16-year follow-up. In: Framingham Study, 16-year Follow-up. Sect 27. U.S. Government Printing Office, 1971.
24. Truett J, Cornfield J, Kannel W. A multivariate analysis of the risk of coronary heart disease in Framingham. J Chron Dis 1967;20:511-524.
25. Selker HP, Griffith JL, D'Agostino RB. A time-insensitive predictive instrument for acute myocardial infarction mortality: A multicenter study. Med Care 1991;29:1196-1211.
26. Rude RE, Poole WK, Muller JE, et al. Electrocardiographic and clinical criteria for recognition of acute myocardial infarction based on analysis of 3,697 patients. Am J Cardiol 1983;52:936-942
27. Selker HP, Beshansky JR, et al. Presenting pulse pressure predicts thrombolytic therapy-related intracranial hemorrhage. Circulation 1994;90:1657-1661.
28. Sawe U. Early diagnosis of acute myocardial infarction with special reference to the diagnosis of the intermediate coronary syndrome: A clinical study. Acta Med Scand 1972; 520(Suppl.):1-76.
29. Tierney WM, Roth BJ, Psaty B, et al. Predictors of myocardial infarction in emergency room patients. Crit Care Med 1985;13:526-31.
30. Killip T, Kimball JT. Treatment of myocardial infarction in a coronary care unit. A two year experience with 250 patients. Am J Cardiol 1967;20:457-64.
31. Lee TH, Cook F, Weisberg M, Sargent RK, Wilson C, Goldman L. Acute chest pain in the emergency room: Identification and examination of low-risk patients. Arch Intern Med 1985;145:65-69.