The entry ECG in the early diagnosis and prognostic stratification of patients with suspected acute myocardial infarction Academic Article uri icon

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abstract

  • 475 patients with suspected uncomplicated myocardial infarction (MI) were divided into 3 groups based on their entry ECG: group 1--significant ST elevation; group 2a--ST depression or T inversion; group 2b--normal ECG. Infarction was confirmed in 99.7% of group 1, 68.5% of group 2a and 39.7% of group 2b patients. Despite similar clinical, haemodynamic and historical variables at presentation, group 1 patients had significantly larger MI, more in-hospital complications and a higher short-term and long-term mortality (P less than 0.005) than group 2 patients. The entry ECG of patients with suspected MI is an excellent and simple predictor of those who are most likely to have an MI confirmed and identifies a group of patients at high risk of death or developing complications.

authors

  • Yusuf, Salim
  • PEARSON, M
  • STERRY, H
  • PARISH, S
  • RAMSDALE, D
  • ROSSI, P
  • SLEIGHT, P

publication date

  • September 1984