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Risk score to predict false-positive ST-segment elevation myocardial infarction in the emergency department: a retrospective analysis
- Source :
- Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, Vol 25, Iss 1, Pp 1-11 (2017)
- Publication Year :
- 2017
- Publisher :
- Springer Science and Business Media LLC, 2017.
-
Abstract
- Background The best treatment approach for ST-segment elevation myocardial infarction (STEMI) is prompt primary percutaneous coronary intervention (PCI). However, some patients show ST elevation on electrocardiography (ECG), but do not have myocardial infarction. We sought to identify the frequency of and to develop a prediction model for false-positive STEMI. Methods This study was conducted in the emergency departments (EDs) of two hospitals using the same critical pathway (CP) protocol to treat STEMI patients with primary PCI. The prediction model was developed in a derivation cohort and validated in internal and external validation cohorts. Results Of the CP-activated patients, those for whom ST elevation did not meet the ECG criteria were excluded. Among the patients with appropriate ECG patterns, the incidence of false-positive STEMI in the entire cohort was 16.3%. Independent predictors extracted from the derivation cohort for false-positive STEMI were age
- Subjects :
- Male
medicine.medical_specialty
Urban Population
Myocardial Infarction
030204 cardiovascular system & hematology
Critical Care and Intensive Care Medicine
Chest pain
Risk Assessment
Percutaneous coronary intervention
Decision Support Techniques
Electrocardiography
Random Allocation
03 medical and health sciences
0302 clinical medicine
Internal medicine
Humans
Medicine
ST segment
False Positive Reactions
cardiovascular diseases
030212 general & internal medicine
Myocardial infarction
Hospitals, Teaching
Prospective cohort study
Original Research
Aged
Retrospective Studies
Framingham Risk Score
business.industry
ST elevation
lcsh:Medical emergencies. Critical care. Intensive care. First aid
Retrospective cohort study
lcsh:RC86-88.9
Middle Aged
medicine.disease
ST-segment elevation myocardial infarction
Predictive model
Emergency medicine
Conventional PCI
Critical Pathways
Emergency Medicine
Cardiology
Risk score
Female
medicine.symptom
Emergency Service, Hospital
business
Subjects
Details
- ISSN :
- 17577241
- Volume :
- 25
- Database :
- OpenAIRE
- Journal :
- Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
- Accession number :
- edsair.doi.dedup.....9c2a952192cd2133b0f9ef4ea2864c53