How long should patients with suspected myocardial infarction be under observation in hospital?

نویسندگان

  • A Poukkula
  • E Huhti
چکیده

Out of 368 patients admitted to hospital for chest pain and suspected acute myocardial infarction, 267 were discharged within 24 hours on the basis of the clinical picture, electrocardiogram, and serum activities of aspartate transaminase, alpha-hydroxybutyrate dehydrogenase, and creatine phosphokinase. The patients were followed up for 28 days, during which 17 were readmitted, two of them twice and one three times. Two of the patients were readmitted with non-fatal acute myocardial infarction, and two died. The patients had been primarily divided into two groups: those admitted with presumably non-coronary chest pain (77 patients) formed group 1 and those with obvious coronary chest pain (190 patients) group 2. Both deaths occurred in patients in group 2 but the incidences of events during the follow-up period were otherwise similar in the two groups, and some patients in both groups may have had small acute myocardial infarctions when first admitted. The decision to keep in hospital or discharge a patient with chest pain of recent onset can be made within 24 hours of admission. To discharge the patient acute myocardial infarction need not necessarily be excluded and conventional tests are enough to enable a decision to be made.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Association of Climate with Acute Myocardial Infarction Hospitalizations

Introduction: Regarding the association between climate, seasons and myocardial infarction, a cross-sectional study was carried out in Shiraz and Bandar Abbas in Iran. Methods: All patients with diagnosis of acute myocardial infarction living in Shiraz and Bandar Abbas were included in the study during 2011-2013. Demographic data were extracted from the patients’ hospital records. Data w...

متن کامل

Effet of low-dose Aspirin on mortality of Acute myocardial Infarction

SUMMARY Between Aug. 1982 and March 1984, In a prospective, randomized trial approximately 24 hours after the onset of acute myocardial, infarction (MI), the influence of Low dose aspirin (120-150 mg/day, just during inhospital phase), on inhospital and post- hospital mortality rate was studied in 62 patients, and compared with control group. The two groups were comparable with regard to age,...

متن کامل

Factors associated with prehospital delay in patients with acute myocardial infarction

Introduction: Treatment of patients with acute myocardial infarction (AMI) is time related, so delay in treatment could affect prognosis. Recognizing pre-hospital or in-hospital delays in initiating treatment and reducing these factors is very efficacious in treatment of these patients. Methods: A cross sectional study was carried out on 227 patients with acute myocardial infarction. Demographi...

متن کامل

Study of the Duration, Outcomes, and Related Factors of Reperfusion Therapy in Patients with ST-Segment Elevation Myocardial Infarction

Background and Objective: One of the most important advancements regarding the care of patients with acute myocardial infarction is the administration of anti-coagulation medicines (e.g., streptokinase). However, it must be noticed that this medicine requires rapid and timely administration. Moreover, Percutaneous Coronary Intervention (PCI) is increasingly used as a method of revascularization...

متن کامل

Cardiac enzyme in emergency medicine

Objective: Acute chest pain is an important and frequently occurring symptom in patients. Chest pain is often a sign of ischemic heart disease. Chest pain due to suspected Acute Coronary Syndrome (ACS) is responsible for a large and ijncreasing number of hospital attendances and admissions. Current practice for suspected ACS involves troponin testing 10–12 hours after symptom o...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • British medical journal

دوره 281 6249  شماره 

صفحات  -

تاریخ انتشار 1980