| 1. |
- Karlson, Björn W., 1953, et al.
(författare)
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Prognosis and symptoms one year after discharge from the emergency department in patients with acute chest pain.
- 1994
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Ingår i: Chest. - : American College of Chest Physicians. - 0012-3692 .- 1931-3543. ; 105:5, s. 1442-7
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: A high proportion of patients admitted to a medical emergency department due to chest pain are directly sent home, since the initial suspicion of acute myocardial infarction (AMI) can be quickly ruled out. AIM: To describe the outcome of such patients during 1 year of follow-up in terms of mortality, development of AMI, and especially severity of symptoms 1 year after discharge. METHODS: All patients who during 21 months were admitted to the medical emergency department at Sahlgrenska Hospital, Göteborg, Sweden, due to chest pain, and who could be directly sent home, were prospectively followed up for 1 year. Their outcome was compared with patients who had chest pain and were hospitalized for AMI during the same time. RESULTS: Patients with chest pain directly sent home (n = 2,102) had a median age of 52 years (age range, 16 to 96 years), and 54 percent were men. The mortality during 1 year was 3 percent, and 3 percent developed AMI. As compared with patients with AMI, those who were directly sent home less frequently reported various cardiovascular symptoms, with the exception for chest pain at rest and palpitations. On the other hand, various emotional and psychosomatic symptoms were more frequently reported by patients who were directly sent home than by patients with AMI. CONCLUSION: Patients who came to a medical emergency department due to chest pain, and who were sent home, had a low risk of death and development of infarction during the following year. Survivors after 1 year do, however, more frequently report emotional and psychosomatic symptoms than survivors of AMI.
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| 2. |
- Karlson, Björn W., 1953, et al.
(författare)
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Prognosis, severity of symptoms, and aspects of well-being among patients in whom myocardial infarction was ruled out.
- 1994
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Ingår i: Clinical Cardiology. - : John Wiley & Sons, Inc.. - 0160-9289 .- 1932-8737. ; 17:8, s. 427-31
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Tidskriftsartikel (refereegranskat)abstract
- In a high proportion of patients hospitalized due to suspected acute myocardial infarction (AMI) the diagnosis cannot be confirmed. The majority of these patients have ischemic heart disease and are at risk for subsequent cardiac events. The aim of this study was to describe the severity of symptoms and various aspects of well-being 1 year after hospitalization due to suspected AMI in surviving patients in whom the diagnosis was not confirmed, and to relate the observations to those found among survivors of a confirmed AMI. All patients admitted to Sahlgrenska Hospital, Göteborg, due to suspected AMI and who were alive after 1 year were asked to answer a questionnaire including questions regarding cardiovascular, psychiatric, and psychological symptoms. Patients in whom AMI was not confirmed reported more cardiovascular symptoms, for example, chest pain (p < 0.001), dyspnea (p < 0.01), palpitations (p < 0.001), and fatigue (p < 0.01) when compared with patients who suffered confirmed AMI. The majority of psychosomatic and psychological parameters evaluated were also more frequently reported by these patients and their quality of life seems to be worse compared with survivors of AMI.
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| 3. |
- Welin, Catharina, 1945, et al.
(författare)
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Psychological characteristics in patients with myocardial infarction : A case-control study
- 1994
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Ingår i: Cardiovascular Risk Factors. - 1130-7501. ; 4:3, s. 154-161
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Tidskriftsartikel (refereegranskat)abstract
- The relationship between psychological factors and nonfatal myocardial infarction (MI) was studied by comparing consecutive male (n=288) and female (n=55) patients, who had suffered a first MI, with a population sample of 283 men and 129 women. All were aged below 65. The psychological factors were investigated by means of a self-administered questionnaire. Both men and women with MI reported significantly more irritability and anxiety than their referents, and also more depressive symptoms and less meaningfulness. After controlling for traditional risk factors (smoking, hypertension, serum cholesterol, and diabetes) all factors were still significantly related to MI among men. Among women solely anxiety remained significant. However, there were no differences between MI patients and referents concerning anger-in or sense of guilt. In multivariate analyses including traditional risk factors and all significant psychological factors irritability and depression emerged as independent risk factors in men, whereas no independent psychological risk factors could be demonstrated in women.
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| 4. |
- Wiklund, Ingela, et al.
(författare)
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A comparison of different psychosocial questionnaires in patients with myocardial infarction.
- 1992
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Ingår i: Scandinavian Journal of Rehabilitation Medicine. - 0036-5505. ; 24:4, s. 195-202
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Tidskriftsartikel (refereegranskat)abstract
- In a consecutive study of 140 patients investigated one month after myocardial infarction (MI), a battery of American and English questionnaires was used to measure depression, anxiety, sleep problems, health locus of control and perceived health. These measures were compared with a well-documented generic questionnaire, the Nottingham Health Profile (NHP), and a similarly well-documented mood scale, the Mood Adjective Check List (MACL). There was close agreement among all measures depicting anxiety and tension. The concordance between the measures of anxiety states and depression was lower. Depression and sleep problems seem to constitute separate concepts, since they are not as highly related to the other measures of anxiety. Because psychosocial factors are important measures for the outcome after an infarction, accurate assessments of these variables are required. Further research is clearly warranted to clarify the complicated interaction between psychosocial constructs and to improve the methods used for their evaluation.
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| 5. |
- Wiklund, Ingela, et al.
(författare)
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Long-term Follow-up of Health-related Quality of Life in Patients with Suspected Acute Myocardial Infarction when the Diagnosis was not Confirmed
- 1991
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Ingår i: Scandinavian Journal of Primary Health Care. - : Informa Healthcare. - 0281-3432 .- 1502-7724. ; 9:1, s. 47-52
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Tidskriftsartikel (refereegranskat)abstract
- This study describes the outcome in terms of health-related quality of life (QL) five years after onset of symptoms in 397 patients with an initial suspicion of acute myocardial infarction (MI) but in whom the diagnosis was not confirmed. The patients were approached by means of a postal inquiry that comprised two questionnaires. The most pronounced impairment in health-related QL was expressed as decreased energy, whereas social life was the least affected area. The overall QL was very similar to that in patients who had a confirmed MI. Subsets of patients with impaired QL were those given the diagnosis of angina pectoris or possible infarction.
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| 6. |
- Wiklund, Ingela, et al.
(författare)
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Subjective symptoms and well-being differ in women and men after myocardial infarction
- 1993
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Ingår i: European Heart Journal. - : Oxford University Press. - 0195-668X .- 1522-9645. ; 14:10, s. 1315-1319
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Tidskriftsartikel (refereegranskat)abstract
- The frequency of subjective cardiac and psychological complaints among men and women a year after a confirmed diagnosis of myocardial infarction (MI) were compared. Among 660 survivors, 595 patients completed mailed questionnaires at home one year after the MI. There were 421 men, mean age 67.1±10.7 years, and 174 women, mean age 72.1±10.6 years. Controlling for the significantly higher mean age among the women, the latter more often had a previous history of angina pectoris, 54.6% (P≤0.05) versus 42.9%, and heart failure, 24.7% versus 13.5% (P≤0.01). Despite these facts, the women were significantly less often referred to CCU, 82.2% versus 91.7% (P≤0.05). One year after the MI, controlling for differences in age and co-morbidity, women reported significantly higher frequencies of psychological and psychosomatic complaints, including sleep disturbances. These differences may have clinical implications for diagnosis and treatment of women with coronary heart disease.
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