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Diagnostic accuracy...
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Herlitz, Johan[external]
(författare)
Diagnostic accuracy of physicians for identifying patients with acute myocardial infarction without an electrocardiogram. Experiences from the TEAHAT trial
- Artikel/kapitelEngelska1995
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S. Karger AG,1995
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LIBRIS-ID:oai:DiVA.org:hb-7757
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https://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-7757URI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:art swepub-publicationtype
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AIM: To determine the diagnostic accuracy of physicians for identifying patients with acute myocardial infarction (AMI) without an electrocardiogram (ECG). PATIENTS: All patients in Göteborg with suspected AMI below 75 years of age who called for an ambulance or came directly to one of the two city hospitals with a delay time of less than 2 h 45 min from the start of symptoms. METHODS: As part of the TEAHAT study (comparing rt-PA and placebo in AMI), we asked physicians to judge on a 1-5 scale (1 = no suspicion; 5 = convinced) how strong their suspicion of AMI was prior to interpreting the ECG. RESULTS: Among patients evaluated outside hospital with 4 or 5 on the scale, i.e. either a strong suspicion of AMI or the physician felt convinced about the diagnosis, 45% had ST elevation and 48% developed AMI during the first 3 days in hospital. The corresponding values for patients evaluated in hospital were 67 and 70%, respectively. CONCLUSION: We found that physicians could not accurately distinguish patients with AMI from those without based on clinical criteria without the help of an ECG.
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Karlson, BW
(författare)
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Karlsson, T
(författare)
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Dellborg, M
(författare)
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Hartford, M
(författare)
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Luepker, RV
(författare)
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[external]
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Cardiology: S. Karger AG86:1, s. 25-270008-63121421-9751
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