Frequency of acute coronary syndrome in patients with normal electrocardiogram performed during presence or absence of chest pain

Academic Emergency Medicine

Volumn 16, Issue 6, 2009, Pages 495-499

  Turnipseed, Samuel D ^a   Trythall, William S ^a   Diercks, Deborah B ^a   Laurin, Erik G ^a   Kirk, J Douglas ^a   Smith, David S ^a   Main, David N ^a   Amsterdam, Ezra A ^a  

^a UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Acute coronary syndrome; Chest pain; Electrocardiogram; Troponin

Indexed keywords

TROPONIN I;

ACUTE CORONARY SYNDROME; ADULT; AGED; ANGINA PECTORIS; ANGIOCARDIOGRAPHY; ARTICLE; CARDIOVASCULAR RISK; CLINICAL FEATURE; CORONARY ARTERY DISEASE; CORONARY ARTERY OBSTRUCTION; ELECTROCARDIOGRAM; ELECTROCARDIOGRAPHY MONITORING; EMERGENCY PATIENT; EMERGENCY PHYSICIAN; EXERCISE TEST; FEMALE; HEART BEAT; HEART LEFT VENTRICLE HYPERTROPHY; HEART RATE; HUMAN; MAJOR CLINICAL STUDY; MALE; NON INVASIVE PROCEDURE; PRIORITY JOURNAL; Q WAVE; QRS COMPLEX; SINUS RHYTHM; ST SEGMENT; T WAVE;

ACUTE CORONARY SYNDROME; ADULT; AGED; AGED, 80 AND OVER; ANGINA, UNSTABLE; CHEST PAIN; CHI-SQUARE DISTRIBUTION; CORONARY ANGIOGRAPHY; CORONARY STENOSIS; ELECTROCARDIOGRAPHY; EMERGENCY SERVICE, HOSPITAL; EXERCISE TEST; FEMALE; HUMANS; MALE; MIDDLE AGED; OBSERVATION; PROSPECTIVE STUDIES; TROPONIN I;

EID: 67149136249     PISSN: 10696563     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1553-2712.2009.00420.x     Document Type: Article

References (19)

1. Lee TH, Goldman L. Evaluation of the patient with chest pain. N Engl J Med. 2000; 342:1187-1195 (Pubitemid 30211051)
2. Nourjah P. National Hospital Ambulatory Medical Care Survey: 1997 Emergency Department Summary. Advance Data from Vital and Health Statistics. Hyattsville, MD: National Center for Health Statistics, 2001.
3. Amsterdam EA, Lewis WR, Kirk JD, Diercks DB, Turnipseed SD. Acute ischemic syndromes: chest pain center concept. Cardiol Clin. 2002; 20:117-136 (Pubitemid 34113509)
4. Brush JE, Brand DA, Acampora D, Chalmer B, Wackers FJ. Use of the initial electrocardiogram to predict in-hospital complications of acute myocardial infarction. N Engl J Med. 1985; 312:1137-1141 (Pubitemid 15008028)
5. Forest SF, Shofer FS, Sease KL, Hollander JE. Assessment of the standard reporting guidelines ECG classification system: the presenting ECG predicts 30-day outcomes. Ann Emerg Med. 2004; 44:206-212 (Pubitemid 39144369)
6. Pope JH, Aufderheide TP, Ruthazer R, et al. Missed diagnoses of acute cardiac ischemic in the emergency department. N Engl J Med. 2000; 342:1163-1170 (Pubitemid 30211047)
7. Katz DA, Williams GC, Brown RL, et al. Emergency physicians' fear of malpractice in evaluating patients with possible acute cardiac ischemia. Ann Emerg Med. 2005; 46:525-533 (Pubitemid 41676750)
8. Chase M, Brown AM, Robey JL, Pollack CV Jr, Shofer FS, Hollander JE. Prognostic value of symptoms during a normal or nonspecific electrocardiogram in emergency department patients with potential acute coronary syndrome. Acad Emerg Med. 2006; 13:1034-1039 (Pubitemid 44416240)
9. Rouan GW, Lee TH, Cook EF, Brand DA, Weisberg MC, Goldman L. Clinical characteristics and outcome of acute myocardial infarction in patients with initially normal or nonspecific electrocardiograms. Am J Cardiol. 1989; 64:1087-1092
10. Brady WJ, Chan TC. Electrocardiographic manifestations: benign early repolarization. J Emerg Med. 1999; 17:473-478 (Pubitemid 29226541)
11. Alpert JS, Thygesen K, Antman E, Bassand JP. Myocardial infarction redefined-a consensus document of the Joint European Society of Cardiology/American College of Cardiology Committee for the redefinition of myocardial infarction. J Am Coll Cardiol. 2000; 36:959-969 (Pubitemid 30681627)
12. Amsterdam EA, Kirk JD, Diercks DB, Lewis WR, Turnipseed SD. Immediate exercise testing to evaluate low-risk patients presenting to the emergency department with chest pain. J Am Coll Cardiol. 2002; 40:251-256 (Pubitemid 34756284)
13. Goldman L, Cook EF, Johnson PA, Brand DA, Rouan GW, Lee TH. 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 (Pubitemid 26166892)
14. Wagner GS (ed). Marriott's Practical Electrocardiography, 11th ed. Philadelphia, PA: Lippincott Williams & Wilkins, 2008.
15. Sharkey SW, Beger CR, Brunette DD, Henry TD. Impact of the electrocardiogram on the delivery of thrombolytic therapy for acute myocardial infarction. Am J Cardiol. 1994; 73:550-553 (Pubitemid 24142585)
16. Singer AJ, Brogan GX, Valentine SM, McCuskey C, Khan S, Hollander JE. Effect of duration from symptom onset on the negative predictive value of a normal ECG for exclusion of acute myocardial infarction. Ann Emerg Med. 1997; 29:575-579 (Pubitemid 27187701)
17. Welch RD, Zalenski RJ, Frederick PD, et al., National Registry of Myocardial Infarction 2 and 3 Investigators. Prognostic value of a normal or nonspecific initial electrocardiogram in acute myocardial infarction. JAMA. 2001; 286:1977-1984
18. Zalenski RJ, Rydman RJ, Sloan EP, Caceres L, Murphy DG, Cooke D. The emergency department electrocardiogram and hospital complications in myocardial infarction patients. Acad Emerg Med. 1996; 3:318-325 (Pubitemid 26163187)
19. Slater DK, Hlatky MA, Mark DB, Harrell FE Jr, 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 (Pubitemid 17163432)