| Prognostic importance of electrocardiographic abnormalities in patients with acute noncardiac conditions. | |
| | |
MedLine Citation:
|
PMID: 22825535 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
The electrocardiogram's (ECG) ability to aid in the diagnosis and risk stratification of patients with acute coronary syndromes is well established. We sought to investigate the prognostic significance of ECG abnormalities in patients with noncardiac conditions in the emergency department. Patients presenting to the emergency department who were evaluated for possible acute coronary syndrome were consecutively enrolled and an initial ECG was obtained (n = 1024). Only patients with noncardiac diagnoses were reviewed in this analysis (n=493) and 30-month follow-up was obtained. Sinus tachycardia, atrial fibrillation/flutter, ST depression, and left bundle branch block were associated with increased 30-month mortality. After controlling for history of coronary artery disease, age, sex, diabetes mellitus, hypertension, and renal insufficiency, sinus tachycardia and ST-segment depression ≥1 mm were independent predictors of 30-month mortality with a hazard ratio of 2.33 (95% confidence interval, 1.36-4.00; P = 0.002) and 2.49 (95% confidence interval, 1.10-5.67; P = 0.029), respectively. In conclusion, ST-segment depression and sinus tachycardia in patients presenting to the hospital with noncardiac conditions are independently associated with increased 30-month mortality. |
| | |
Authors:
|
Carlos Calle-Muller; David Nori; Richard Nowak; Michael Hudson; Gordon Jacobsen; James McCord |
Related Documents
:
|
21828945 - Prognostic value of qt dispersion change following primary percutaneous coronary interv... 21993355 - Left ventricular reconstruction concomitant to coronary artery bypass grafting: when an... 22378485 - Percutaneous left ventricular assist device with tandemheart for high-risk percutaneous... 22035585 - Superior outcome with direct catheter laboratory access vs ed-activated primary percuta... 15227405 - Echocardiography in the assessment of complications of myocardial infarction. 17493475 - Annular-to-leaflet mismatch and the need for reductive annuloplasty in patients undergo... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Critical pathways in cardiology Volume: 11 ISSN: 1535-2811 ISO Abbreviation: Crit Pathw Cardiol Publication Date: 2012 Sep |
Date Detail:
|
Created Date: 2012-07-24 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101165286 Medline TA: Crit Pathw Cardiol Country: United States |
Other Details:
|
Languages: eng Pagination: 147-51 Citation Subset: IM |
Affiliation:
|
From the *Department of Internal Medicine, Henry Ford Hospital, Detroit, MI; †Department of Cardiology, Beaumont Hospital, Royal Oak, MI; ‡Department of Emergency Medicine, Henry Ford Hospital, Detroit, MI; ‡Henry Ford Heart and Vascular Institute, Detroit, MI; and ¶Department of Public Health Sciences, Henry Ford Hospital, Detroit, MI. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: 2012 Oman Heart Association Simplified Guidelines for the Management of Patients With Unstable Angin...
Next Document: Impact of Chronic Kidney Disease on Long-term Clinical Outcomes After Percutaneous Coronary Interven...