Atypical presentation of acute coronary syndrome: A significant independent predictor of in-hospital mortality

被引:56
|
作者
El-Menyar, Ayman [1 ,2 ]
Zubaid, Mohammad [3 ]
Sulaiman, Kadhim [4 ]
AlMahmeed, Wael [5 ]
Singh, Rajvir [6 ]
Alsheikh-Ali, Alawi A. [7 ]
Al Suwaidi, Jassim [1 ,2 ]
机构
[1] Hamad Med Corp, Dept Cardiol, Doha, Qatar
[2] Weill Cornell Med Sch, Doha, Qatar
[3] Kuwait Univ, Fac Med, Dept Med, Safat 13060, Kuwait
[4] Royal Hosp, Dept Cardiol, Muscat, Oman
[5] Sheikh Khalifa Med City, Abu Dhabi, U Arab Emirates
[6] Hamad Med Corp, Med Res Ctr, Doha, Qatar
[7] Tufts Med Ctr, Tufts Clin & Translat Sci Inst, Boston, MA USA
关键词
Typical angina; Atypical chest pain; Dyspnea; Acute coronary syndrome; ACUTE MYOCARDIAL-INFARCTION; CHEST-PAIN; GLOBAL REGISTRY; SYMPTOM PRESENTATION; ANGINA-PECTORIS; OUTCOMES; EVENTS; MANAGEMENT; PROGNOSIS; GRACE;
D O I
10.1016/j.jjcc.2010.11.008
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Patients with acute coronary syndrome (ACS) frequently present with typical chest pain; however a considerable proportion may present with atypical symptoms. Objective: The purpose of this study was to evaluate the prognostic value of different presenting symptoms in ACS patients. Methods: Over a 5-month period in 2007, 6704 consecutive patients presenting with ACS were enrolled and categorized into three groups according to their presenting symptom (typical chest pain, atypical chest pain, and dyspnea). Data were collected from a prospective, multicenter, multinational, observational study from 6 countries. The baseline characteristics, therapy, and in-hospital outcomes were analyzed and compared in the three groups. (C) 2011 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:165 / 171
页数:7
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