Predictors of acute coronary syndrome without ST segment elevation and risk stratification in the chest pain unitPredictores de síndrome coronario agudo sin supradesnivel del ST y estratificación de riesgo en la unidad de dolor torácico. Experiencia en 1.168 pacientes
dc.contributor.author | Gabrielli L. | |
dc.contributor.author | Castro G. P. | |
dc.contributor.author | Verdejo H. | |
dc.contributor.author | McNab P. | |
dc.contributor.author | Llevaneras S. | |
dc.contributor.author | Mardonez J. | |
dc.contributor.author | Corbalán R. | |
dc.contributor.author | Castro G. P. | |
dc.date.accessioned | 2024-01-10T13:44:47Z | |
dc.date.available | 2024-01-10T13:44:47Z | |
dc.date.issued | 2008 | |
dc.description.abstract | Background: Nearly 10% of patients with an actual acute coronary syndrome (ACS) are discharged with an inadequate diagnosis. Aim: To select clinical and laboratory predictors to identify patients with a high likelihood of ACS in the Chest Pain Unit. Material and methods: Prospective evaluation of patients consulting in a Chest Pain Unit of a University Hospital. Initial assessment was standardized and included evaluation of pain characteristics, electrocardiogram and Troponin I. Independent predictors of ACS were identified with a multiple logistic regression. Results: In a four years period, 1,168 patients aged 62±23 years (69% males), were studied. After initial evaluation, 62% of the patients were admitted to the hospital for further testing and in 71% of them, a definite diagnosis of ACS was made. No events were reported by patients directly discharged from the Chest Pain Unit. Independent predictors associated with a higher likelihood of ACS were an abnormal electrocardiogram at the initial evaluation (Odds ratio (OR) 5.37, 95% confidence intervals (CI) 3.61-7.99), two or more cardiovascular risk factors (OR 2.16, 95% CI 1.21-2.84), cervical irradiation of the pain (OR 1.84, 95% CI 1.25-2.69), age over 65 years (OR 1.73, 95% CI (1.32-2.27) and a Troponin I above the upper normal limit (OR: 5.68, 95% CI 3.72-8.29). Conclusions: Simple clinical findings allow an appropriate identification of patients with a high likelihood of ACS without specialized methods for myocardial ischemia detection. | |
dc.fuente.origen | Scopus | |
dc.identifier.eissn | 07176163 | |
dc.identifier.issn | 00349887 07176163 | |
dc.identifier.pubmedid | 18769786 | |
dc.identifier.scopusid | SCOPUS_ID:45849092261 | |
dc.identifier.uri | https://repositorio.uc.cl/handle/11534/78936 | |
dc.information.autoruc | Facultad de Medicina; Verdejo Pinochet, Hugo Eduardo; S/I; 1001175 | |
dc.language.iso | es | |
dc.nota.acceso | Sin adjunto | |
dc.pagina.final | 450 | |
dc.pagina.inicio | 442 | |
dc.revista | Revista Medica de Chile | |
dc.rights | registro bibliográfico | |
dc.subject | Acute coronary syndrome | |
dc.subject | Risk factors | |
dc.subject | Troponin T-1 | |
dc.title | Predictors of acute coronary syndrome without ST segment elevation and risk stratification in the chest pain unitPredictores de síndrome coronario agudo sin supradesnivel del ST y estratificación de riesgo en la unidad de dolor torácico. Experiencia en 1.168 pacientes | |
dc.type | artículo | |
dc.volumen | 136 | |
sipa.codpersvinculados | 1001175 | |
sipa.index | Scopus | |
sipa.index | Pubmed | |
sipa.trazabilidad | Carga SIPA;09-01-2024 |