ST-segment depression on the initial electrocardiogram in acute myocardial infarction-prognostic significance and its effect on short-term mortality: A report from the National Registry of Myocardial Infarction (NRMI-2, 3, 4)

被引：10

作者：

Pitta, SR ^{[1
]}

Grzybowski, M

Welch, RD

Frederick, PD

Wahl, R

Zalenski, RJ

机构：

[1] Wayne State Univ, Sch Med, Dept Emergency Med, Detroit, MI 48202 USA

[2] Univ Washington, Ovat Res Grp, Seattle, WA 98195 USA

[3] Wayne State Univ, Dept Internal Med, Detroit, MI USA

[4] John D Dingell Vet Hosp, Dept Med, Detroit, MI USA

[5] Genentech Inc, San Francisco, CA 94080 USA

来源：

AMERICAN JOURNAL OF CARDIOLOGY | 2005年 / 95卷 / 07期

关键词：

D O I：

10.1016/j.amjcard.2004.12.010

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

This study analyzed 255,256 patients who had acute myocardial infarction and were enrolled in the National Registry of Myocardial Infarction 2, 3, and 4 (1994 to 2002). The objective was to determine in-hospital mortality rate among patients who had ST-segment depression on the initial electrocardiogram. Patients who had ST-segment depression had an in-hospital mortality rate (15.8%) similar to that of patients who had ST-segment elevation or left bundle branch block (15.5%). After adjusting for observed differences, ST-segment depression was associated with only a slightly lower odds ratio (0.91) of mortality compared with ST-segment elevation or left bundle branch block. (c) 2005 by Excerpta Medica Inc.

引用

页码：843 / 848

页数：6

共 18 条

[1] Acute coronary syndromes in the GUSTO-IIb trial - Prognostic insights and impact of recurrent ischemia [J].

Armstrong, PW ;

Fu, YL ;

Chang, WC ;

Topol, EJ ;

Granger, CB ;

Betriu, A ;

Van de Werf, F ;

Lee, KL ;

Califf, RM .

CIRCULATION, 1998, 98 (18) :1860-1868

[2] ACC/AHA 2002 guideline update for the management of patients with unstable angina and non-ST-Segment elevation myocardial infarction - Summary article - A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on the Management of Patients with Unstable Angina) [J].

Braunwald, E ;

Antman, EM ;

Beasley, JW ;

Califf, RM ;

Cheitlin, MD ;

Hochman, JS ;

Jones, RH ;

Kereiakes, D ;

Kupersmith, J ;

Levin, TN ;

Pepine, CJ ;

Schaeffer, JW ;

Smith, EE ;

Steward, DE ;

Theroux, P ;

Gibbons, RJ ;

Alpert, JS ;

Faxon, DP ;

Fuster, V ;

Gregoratos, G ;

Hiratzka, LF ;

Jacobs, AK ;

Smith, SC .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2002, 40 (07) :1366-1374

[3] The electrocardiogram predicts one-year outcome of patients with unstable angina and non-Q wave myocardial infarction: Results of the TIMI III registry ECG ancillary study [J].

Cannon, CP ;

McCabe, CH ;

Stone, PH ;

Rogers, WJ ;

Schactman, M ;

Thompson, BW ;

Pearce, DJ ;

Diver, DJ ;

Kells, C ;

Feldman, T ;

Williams, M ;

Gibson, RS ;

Kronenberg, MW ;

Ganz, LI ;

Anderson, HV ;

Braunwald, E .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1997, 30 (01) :133-140

[4] The prehospital electrocardiogram in acute myocardial infarction: Is its full potential being realized? [J].

Canto, JG ;

Rogers, WJ ;

Bowlby, LJ ;

French, WJ ;

Pearce, DJ ;

Weaver, WD .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1997, 29 (03) :498-505

[5]

Diderholm E, 2002, EUR HEART J, V23, P41, DOI 10.1053/euhj.2001.2694

[6] A comparison of the national registry of myocardial infarction 2 with the Cooperative Cardiovascular Project [J].

Every, NR ;

Frederick, PD ;

Robinson, M ;

Sugarman, J ;

Bowlby, L ;

Barron, HV .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1999, 33 (07) :1886-1894

[7] Admission standard electrocardiogram for early risk stratification in patients with unstable coronary artery disease not eligible for acute revascularization therapy: A TRIM substudy [J].

Holmvang, L ;

Clemmensen, P ;

Wagner, G ;

Grande, P .

AMERICAN HEART JOURNAL, 1999, 137 (01) :24-33

[8] Four-year survival of patients with acute coronary syndromes without ST-segment elevation and prognostic significance of 0.5-mm ST-segment depression [J].

Hyde, TA ;

French, JK ;

Wong, CK ;

Straznicky, IT ;

Whitlock, RML ;

White, HD .

AMERICAN JOURNAL OF CARDIOLOGY, 1999, 84 (04) :379-385

[9] Characteristics and outcomes in patients with acute myocardial infarction with ST-segment depression on initial electrocardiogram [J].

Mahon, NG ;

Codd, MB ;

McKenna, CJ ;

O'Rorke, C ;

McCann, HA ;

Sugrue, DD .

AMERICAN HEART JOURNAL, 2000, 139 (02) :311-319

[10] Characteristics of presenting electrocardiograms of acute myocardial infarction from a community-based population predict short- and long-term mortality [J].

Miller, WL ;

Sgura, FA ;

Kopecky, SL ;

Asirvatham, SJ ;

Williams, BA ;

Wright, RS ;

Reeder, GS .

AMERICAN JOURNAL OF CARDIOLOGY, 2001, 87 (09) :1045-1050

← 1 2 →