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- W2042355247 abstract "Prompt diagnosis of all patients with myocardial infarction (MI) is an elusive goal. Experience from the Framingham cohort reveals that a large proportion of afflicted patients suffer a clinically silent MI recognized by the ECG days to years after its occurrence. 1 Margolis J.R. Kannel W.B. Feinleib M. et al. Clinical features of unrecognized myocardial infarction: 18 years of follow-up: the Framingham study. Am J Cardiol. 1973; 32: 1-7 Abstract Full Text PDF PubMed Scopus (286) Google Scholar Furthermore, MI even in a hospital setting is often missed or recognized after long delays when it occurs in the context of old age, debilitation, use of various drugs, anesthesia, or postoperative state. Another subset of patients with MI and problematic diagnosis comprises those presenting with atypical pain or symptoms other than pain; 2 Madias JE, Chintalapally G, Choudry M, et al. Correlates and in-hospital outcome of painless presentation of acute myocardial infarction: a prospective study of a consecutive series of patients admitted to the coronary care unit. J Invest Med (in press) Google Scholar for the latter cases, the diagnosis of MI is supported by the enzymatic and ECG changes. This notwithstanding, many current reports from emergency department (ED) experience focus exclusively on detection of cases of MI in groups of patients with chest pain. 3 Weigarten S.R. Ermann B. Riedinger M.S. et al. Selecting the best triage rule for patients hospitalized with chest pain. Am J Med. 1989; 87: 494-500 Abstract Full Text PDF Scopus (60) Google Scholar , 4 Gibler W.B. Young G.P. Hedges J.R. et al. Acute myocardial infarction in chest pain patients with non-diagnostic ECGs: serial CK-MB sampling in the emergency department. Ann Emerg Med. 1992; 21: 504-512 Abstract Full Text PDF PubMed Scopus (177) Google Scholar" @default.
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- W2042355247 date "1995-12-01" @default.
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- W2042355247 title "Acute Myocardial Infarction" @default.
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- W2042355247 doi "https://doi.org/10.1378/chest.108.6.1483" @default.
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