Document Detail

Patients admitted to the emergency room with symptoms indicative of acute myocardial infarction.
MedLine Citation:
PMID:  1895047     Owner:  NLM     Status:  MEDLINE    
All 7157 patients (55% men) admitted to the emergency room with chest pain or other symptoms indicative of acute myocardial infarction during a period of 21 months were registered consecutively. Chest pain was reported by 93% of the patients. On the basis of history, clinical examination, and electrocardiogram in the emergency room, all patients were prospectively classified in one of four categories: (i) obvious infarction (4% of all patients); (ii) strongly suspected infarction (20%); (iii) vague suspicion of infarction (35%); and (iv) no suspected infarction (41%). In patients with no suspected infarction (n = 2910), musculoskeletal (26%), obscure (21%) and psychogenic origins (16%) of the symptoms occurred most frequently. We conclude that few of the patients had an obvious infarction on admission, and that a musculoskeletal origin of the symptoms occurred most frequently in patients with no suspected infarction.
B W Karlson; J Herlitz; P Pettersson; H E Ekvall; A Hjalmarson
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of internal medicine     Volume:  230     ISSN:  0954-6820     ISO Abbreviation:  J. Intern. Med.     Publication Date:  1991 Sep 
Date Detail:
Created Date:  1991-10-23     Completed Date:  1991-10-23     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8904841     Medline TA:  J Intern Med     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  251-8     Citation Subset:  IM    
Department of Medicine I, Sahlgrenska Hospital, Göteborg, Sweden.
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MeSH Terms
Age Factors
Aged, 80 and over
Chest Pain / etiology
Confounding Factors (Epidemiology)
Drug Therapy
Emergency Service, Hospital*
Middle Aged
Myocardial Infarction / complications,  diagnosis*
Patient Admission
Transportation of Patients

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