Emergency room risk stratification of patients with chest pain without ST segment elevation
المؤلفون المشاركون
Ismail, Imad al-Din
al-Baih, Adil H.
Ismail, Munirah T.
al-Imam, Yahya
Nasr, Gamela
المصدر
Suez Canal University Medical Journal
العدد
المجلد 19، العدد 1 (30 يونيو/حزيران 2016)، ص ص. 68-75، 8ص.
الناشر
تاريخ النشر
2016-06-30
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Background : Emergency room triage of patients with chest pain is an ongoing challenge.
Over the years a number of modalities have been evolved for rapid diagnosis and better risk stratification of patients.
Aim: to investigate the prognostic factors in patients who came to the Emergency Department with chest pain suspected of acute coronary syn-drome without ST segment elevation.
Patients and Methods: one-hundred and three consecutive patients (from Suez Canal university Hospital and Al Monira General Hospi-tal) were evaluated by recording clinical history, electrocardiogram and troponin de-termination.
Early (< 24 h) exercise testing was done for the low-risk subgroup of pa-tients (n= 28).
All patients were followed up for 3 months for major events (acute myo-cardial infarction or death).
Results: Major events occurred in 14 patients (9.6%).
Multi-variate analysis identified the following predictors: age ≥65 years (OR = 1.7; p = 0.05), diabetes mellitus (OR = 2.9; p = 0.001), previous ischemic heart disease (OR = 2.5; p = 0.004), ST depression (OR = 2.1; p = 0.048) and troponin elevation (OR = 2.6; p = 0.003).
These five predictors were used to construct a risk score based on their odds ratios, which allowed event risk stratification 0-3 points low risk 48 % of the studied patients, 4-7 points intermediate risk 31% of the studied patients, 8 points or more high risk 21%of studied patients.
Conclusions: In patients with chest pain, the combination of clinical, electrocardiographic and biochemical data available on admission to the emergency service allows rapid prognostic stratification.
Early exercise testing is advisable for the final stratification of low risk patients.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Ismail, Imad al-Din& Nasr, Gamela& al-Baih, Adil H.& Ismail, Munirah T.& al-Imam, Yahya. 2016. Emergency room risk stratification of patients with chest pain without ST segment elevation. Suez Canal University Medical Journal،Vol. 19, no. 1, pp.68-75.
https://search.emarefa.net/detail/BIM-959130
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Ismail, Imad al-Din…[et al.]. Emergency room risk stratification of patients with chest pain without ST segment elevation. Suez Canal University Medical Journal Vol. 19, no. 1 (2016), pp.68-75.
https://search.emarefa.net/detail/BIM-959130
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Ismail, Imad al-Din& Nasr, Gamela& al-Baih, Adil H.& Ismail, Munirah T.& al-Imam, Yahya. Emergency room risk stratification of patients with chest pain without ST segment elevation. Suez Canal University Medical Journal. 2016. Vol. 19, no. 1, pp.68-75.
https://search.emarefa.net/detail/BIM-959130
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 75
رقم السجل
BIM-959130
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر