Risk stratification using combined ECG, clinical, and biochemical assessment in patients with chest pain without ST-segment elevation. How long should we wait?;Estratificación de riesgo en pacientes con dolor torácico sin ascenso persistente del segmento ST basado en variables clínicas, ECG y bioquímicas. ¿Cuánto tiempo debemos esperar?

Revista Espanola de Cardiologia

Volumn 56, Issue 4, 2003, Pages 338-345

  Fernández Portales, Javier ^a   Pérez Reyes, Fabiola ^a   García Robles, José A ^a   Jiménez Candil, Javier ^a   Pérez David, Esther ^a   Rey Blas, Juan R ^a   Pérez de Isla, Leopoldo ^a   Díaz Castro, Óscar ^a   Almendral, Jesús ^a  

^a HOSPITAL GENERAL UNIVERSITARIO GREGORIO MARAÑÓN   (Spain)

Author keywords

Prognosis; Troponin; Unstable angina

Indexed keywords

CREATINE KINASE; CREATINE KINASE MB; MYOGLOBIN; TROPONIN T;

ACCURACY; AGE DISTRIBUTION; ANAMNESIS; ARTICLE; BIOCHEMISTRY; BLOOD SAMPLING; CLINICAL EXAMINATION; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CREATINE KINASE BLOOD LEVEL; DISEASE CLASSIFICATION; ELECTROCARDIOGRAPHY; EMERGENCY WARD; FEMALE; HOSPITAL ADMISSION; HUMAN; ISCHEMIC HEART DISEASE; MAJOR CLINICAL STUDY; MALE; MEDICAL DOCUMENTATION; MULTIVARIATE ANALYSIS; PROGNOSIS; PROSPECTIVE STUDY; PROTEIN BLOOD LEVEL; RECEIVER OPERATING CHARACTERISTIC; RECURRENCE RISK; RECURRENT DISEASE; RISK ASSESSMENT; SENSITIVITY AND SPECIFICITY; ST SEGMENT ELEVATION; SYMPTOMATOLOGY; UNSTABLE ANGINA PECTORIS;

EID: 0037650105     PISSN: 03008932     EISSN: None     Source Type: Journal    
DOI: 10.1157/13045648     Document Type: Article

References (16)

1. Lee T, Cook E, Weisberg M, Sargent R, Wilson C, Goldman L. Acute chest pain in the emergency room: identification and examination of low-risk patients. Arch Intern Med 1985;145:65-6.
2. Hamm H, Katus A. New biochemical markers for myocardial cell injury. Curr Opin Cardiol 1999;10:355-60.
3. Braunwald E. Unstable angina. Circulation 1989;80:410-4.
4. Stone H, Thompson B, Anderson H. Influence of race, sex, and age on management of unstable angina and non-Q-wave myocardial infarction: the TIMI III Registry. JAMA 1996;275:1104-12.
5. Lloyd-Jones DM, Camargo C, Lapuerta P. Electrocardiographic and clinical predictors of acute myocardial infarction in patients with unstable angina pectoris. Am J Cardiol 1998;81:1182-6.
6. Holmvang L, Clemmensen P, Wagner G, Grande P. Admission standard electrocardiogram for early risk stratification in patients with unstable coronary artery disease not eligible for acute revascularization therapy: a TRIM substudy: ThRombin Inhibition in Myocardial Infarction. Am Heart J 1999;137:24-33.
7. DeFilippi M, Tocchi M, Parmar J, Rosanio S, Abreo G, Uretsky B. Cardiac troponin T in chest pain unit patients without ischemic electrocardiographic changes: angiographic correlates and long-term clinical outcomes. J Am Coll Cardiol 2000;35:1827-34.
8. De Winter J, Koster W, Sturk A, Sanders T. Value of myoglobin, troponin T, and CK-MB mass in ruling out an acute myocardial infarction in the emergency room. Circulation 1995;92:3401-7.
9. Galvani, Ottani F, Ferrini F, Ladenson J. Prognostic influence of elevated values of cardiac troponin I in patients with unstable angina. Circulation 1997;95:2053-9.
10. Hamm H, Goldmann U, Heeschen C, Kreymann C, Berger J, Meinertz T. Emergency room triage of patients with acute chest pain by means of rapid testing for cardiac troponin T or troponin I. N Engl J Med 1997;337:1648-53.
11. Savonitto S, Ardissino D, Granger B, Morando G, Prando D. Prognostic value of the admission electrocardiogram in acute coronary syndromes. JAMA 1999;281:707-13.
12. Carbajal. Cardiac troponins in acute coronary syndromes. N Engl J Med 1997;336:1258-9.
13. Antman E, Cohen M, Bernink M. The TIMI risk score for unstable angina/non-ST-elevation MI: a method for prognostication and therapeutic decision making. JAMA 2000;284:835-42.
14. Farkouh P, Smars A, Reeder G, Zinsmeister G. A clinical trial of a chest-pain observation unit for patients with unstable angina. Chest Pain Evaluation in the Emergency Room (CHEER) Investigators. N Engl J Med 1998;339:1882-8.
15. Lee TH, Juarez G, Cook EF. Ruling out acutemyocardial infarction: a prospective multicenter validation of a 12-hour strategy for patients at low risk. N Engl J Med 1991;324:1239-46.
16. Fernández Portales J, García Robles JA, Jiménez Candil J, Pérez David E, Rey Blas JR, Pérez de Isla L, et al. Utilidad clínica de los distintos marcadores biológicos CPK, CPKMB masa, mioglobina y troponina T en una unidad de dolor torácico, ¿cuándo, cuáles y cómo pedirlos? Rev Esp Cardiol 2002;55:913-20.