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WFRF:(Karlsson Johan M.)
 

Sökning: WFRF:(Karlsson Johan M.) > Diagnostic accuracy...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00002152naa a2200289 4500
001oai:DiVA.org:hb-7757
003SwePub
008151222s1995 | |||||||||||000 ||eng|
024a https://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-77572 URI
040 a (SwePub)hb
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Herlitz, Johanu [external]4 aut0 (Swepub:hb)jhz
2451 0a Diagnostic accuracy of physicians for identifying patients with acute myocardial infarction without an electrocardiogram. Experiences from the TEAHAT trial
264 1b S. Karger AG,c 1995
338 a print2 rdacarrier
520 a 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.
700a Karlson, BW4 aut
700a Karlsson, T4 aut
700a Dellborg, M4 aut
700a Hartford, M4 aut
700a Luepker, RV4 aut
710a [external]4 org
773t Cardiologyd : S. Karger AGg 86:1, s. 25-27q 86:1<25-27x 0008-6312x 1421-9751
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-7757

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