Prognostic value of the admission electrocardiogram in acute coronary syndromes

JAMA

Volumn 281, Issue 8, 1999, Pages 707-713

  Savonitto, Stefano ^a   Ardissino, Diego ^b   Granger, Christopher B ^c   Morando, Giorgio ^d   Prando, Maria D ^e   Mafrici, Antonio ^a   Cavallini, Claudio ^f   Melandri, Giovanni ^g   Thompson, Trevor D ^c   Vahanian, Alec ^h   Ohman, E Magnus ^c   Califf, Robert M ^c   Van De Werf, Frans ⁱ   Topol, Eric J ^j  

^a OSPEDALE NIGUARDA CA GRANDA   (Italy)

^b FONDAZIONE IRCCS POLICLINICO SAN MATTEO   (Italy)

^c DUKE CLINICAL RESEARCH INSTITUTE   (United States)

^d UNIVERSITY OF VERONA   (Italy)

^e MAGGIORE DELLA CARITÀ HOSPITAL   (Italy)

^f OSPEDALE CA FONCELLO   (Italy)

^g UNIVERSITY OF BOLOGNA   (Italy)

^h HÔPITAL TENON   (France)

ⁱ UNIVERSITY OF LEUVEN   (Belgium)

^j LERNER RESEARCH INSTITUTE   (United States)

more..

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CORONARY ARTERY DISEASE; CREATINE KINASE BLOOD LEVEL; DIAGNOSTIC VALUE; ELECTROCARDIOGRAM; HUMAN; MAJOR CLINICAL STUDY; PRIORITY JOURNAL; ST SEGMENT;

EID: 0033599277     PISSN: 00987484     EISSN: None     Source Type: Journal    
DOI: 10.1001/jama.281.8.707     Document Type: Article

References (29)

1. Goldman L, Cook EF, Johnson PA, Brand DA, Rouan Prediction of the need for intensive care in patients who come to emergency departments with acute chest pain. N Engl J Med. 1996;334:1498-1504.
2. Fibrinolytic Therapy Trialists' (FTT) Collaborative Group. Indications for fibrinolytic therapy in suspected acute myocardial infarction: collaborative overview of early mortality and major morbidity results from all randomised trials of more than 1000 patients, Lancet. 1994;343:311-322
3. Nicod P, Cilpin E, Dittrich H, et al. Short- and long-term clinical outcomes after Q wave and non-Q wave myocardial infarction in a large patient population. Circulation. 1989;79:528-536.
4. RISC Group. Risk of myocardial infarction and death during treatment with low dose aspirin and intravenous heparin in men with unstable coronary artery disease. Lancet 1990;336:827-830.
5. Nyman I, Areskog M, Areskog NH, Swahn W, Wallentin L, and the RISC Study Group. Very early risk stratification by electrocardiogram at rest in men with suspected unstable coronary heart disease. J Intern Med. 1993;234:293-301.
6. Severi S, Orsini E, Marraccini P, Michelassi C, L'Abbate A. The basal electrocardiogram and the exercise stress test in assessing prognosis in patients with unstable angina Eur Heart J. 1988;9:441-446.
7. Wilcox I, Freedman SB, McCredie RJ, Carter GS, Kelly DT, Harris PJ. Risk of adverse outcome in patients admitted to the coronary care unit with suspected unstable angina pectoris. Am J Cardiol. 1989; 64:845-848.
8. The Global Use of Strategies To Open Occluded Coronary Arteries (CUSTO-llb) Investigators. A comparison of recombinant hirudin with heparin for the treatment of acute coronary syndromes. N Engl J Med. 1996;335:775-782.
9. Cohen M, Hawkins L, Greenberg S, Fuster V. Usefulness of ST-segment changes in > 2 leads on the emergency room electrocardiogram in either unstable angina pectoris or non-Q-wave myocardial infarction in predicting outcome. Am J Cardiol. 1991; 67:1368-1373.
10. 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.
11. Stark ME, Vacek JL. The initial electrocardiogram during admission for myocardial infarction. Arch Intern Med. 1987;147:843-846.
12. Slater DK, Hlatky MA, Mark DB, Harrell FE, Pryor DB, Califf RM Outcome in suspected acute myocardial infarction with normal or minimally abnormal admission electrocardiographic findings. Am J Cardiol. 1987;60:766-770.
13. Rouan GW, Lee TH, Cook EF, et al, for the Multicenter Chest Pain Study. Clinical characteristics and outcome of acute myocardial infarction in patients with initially normal or nonspecific electrocardiograms. Am J Cardiol. 1989;64:1087-1092.
14. De Servi S, Ghio S, Ferrario S, et al. Clinical and angiographic findings in angina at rest. Am Heart J. 1986;111:6-10.
15. Shiang L-H, Cross SJ, Rawles JM, Jennings KP. Patients with suspected myocardial infarction who presentwith ST depression. Lancet 1993;345:1204-1207.
16. Cannon CP, McCabe CH, Stone PH, et al. The electrocardiogram predicts one-year outcome of patients with unstable angina and non-Q wave myocardial infarction: results of the TIMI III registry ECG ancillary study. J Am Coll Cardiol. 1997;30:133-140.
17. Peterson ED, Hathaway WR, Zabel KM, et al. Prognostic significance of precordial ST segment depression during inferior myocardial infarction in the thrombotytic era: results in 16,521 patients. J Am Coll Cardiol. 1996;28:305-312.
18. Califf RM, Mark DM. Clinical presentation and diagnostic techniques. In: Fuster V, Ross R, Topol EJ, eds. Atherosclerosis and Coronary Artery Disease. Philadelphia, Pa: Lippincott-Raven Publishers; 1996: 1299-1314.
19. Haines DE, Raabe DS, Gundel WD, Wackers FJT. Anatomic and prognostic significance of new T-wave inversion in unstable angina. Am J Cardiol. 1983; 52:14-18.
20. Granborg J, Grande P, Pedersen A. Diagnostic and prognostic implications of transient isolated negative T waves in suspected acute myocardial infarction. Am J Cardiol. 1986;57:203-207.
21. Mutter AM Jr, DeSanctis RW, Flynn T, Yeatman LA. Nontransmural myocardial infarction: a comparison of hospital and late clinical course of patients with that of matched patients with transmural anterior and transmural inferior myocardial infarction. Am J Cardiol. 1981;48:595-602
22. Schechtman KB, Capone RJ, Kleiger RE, et al. Risk stratification of patients with non-Q wave myocardial infarction: the critical role of ST-segment depression. Circulation. 1989;80:1148-1158.
23. Armstrong PW, Fu Y, Chang WC, et al. Acute coronary syndromes in the GUSTO-IIb trial: prognostic insights and impact of recurrent ischemia. Circulation. 1998;98:1860-1868.
24. Hamm CW, Ravkilde J, Gerhardt W, et al. The prognostic value of serum troponin T in unstable angina. N Engl J Med. 1992;327:146-150.
25. Ohman EM, Armstrong PW, Christenson RH, et al. Cardiac troponin T levels for risk stratification in acute myocardial ischemia. N Engl J Med. 1996;335:1333-1341.
26. Stubbs P, Collinson P, Moseley D, Greenwood T, Noble M. Prognostic significance of admission troponin T concentrations in patients with myocardial infarction. Circulation. 1996;94:1291-1297.
27. Antman EM, Tanasijevic MJ, Thompson B, et al. Cardiac-specific troponin I levels to predict the risk of mortality in patients with acute coronary syndromes. N Engl J Med. 1996;335:1342-1349.
28. Katus HA, Diederich KW, Hoberg E, Kubler W. Circulating cardiac myosin light chains in patients with angina at rest: identification of a high risk subgroup. J Am Coll Cardiol. 1988;11:487-493.
29. The Global Use of Strategies To Open Occluded Coronary Arteries (GUSTO-III) Investigators. A comparison of reteplase with alteplase for acute myocardial infarction. N Engl J Med. 1997;337: 1118-1123.