Approach to chest pain and acute myocardial infarction

Pandie, Shaheen; Hellenberg, Derek; Hellig, Farrel; Ntsekhe, Mpiko

doi:10.7196/samj.2016.v106i3.10323

Cited by 10 publications

(8 citation statements)

References 18 publications

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“…International Journal of Medical Research and Review Available online at: www.ijmrr.in 51 | P a g e was only a single point of contact and no follow up was deemed necessary as patient reported symptoms were central to the study. All patients were then referred to a PCI capable center according to standard protocol [8][9][10][11].…”

Section: Issn-2321-127xmentioning

confidence: 99%

To study the correlation of symptoms of angina with the diagnosis of ST Segment Elevation Myocardial Infarction (STEMI)

2017

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Introduction: Chest pain is amongst the commonest causes of visits to the emergency department. A rapid assessment with a prompt evaluation with an electrocardiogram clinches the diagnosis in most cases. However, with ever increasing strain on our limited resources, patient reported symptoms are central to initial assessment and must decide the course of action. Although considered ominous signs requiring further, often emergent, assessment, data on correlation of symptoms of angina with ST segment elevation is limited in contemporary literature. Methodology: 230 patients with biomarker proven ST segment elevation myocardial infarction (STEMI) were studied and assessed for frequency of the four, patient reported, cardinal symptoms of angina, namely retrosternal chest discomfort, diaphoresis, palpitations and radiation. We assessed the relative presence or absence of these supposedly cardinal symptoms of angina and set out to classify the most important symptoms of angina. Results: Our study shows that presence of three or more above symptoms is associated with a much higher possibility of an actual STEMI as opposed to only one symptom. Furthermore, a measurable increase in the probability of MI exists, when the number of patient reported symptoms increases from none to all four, as mentioned above. Though the study also reaffirmed the association between hypertension and Type 2 Diabetes Mellitus with acute coronary syndromes, our study was neither powered, nor designed to study this association. Conclusions: Patient reported symptoms have a direct and additive correlation with STEMI. A quick but detailed history in the emergency department is of paramount importance to identify high risk patients.

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Section: Issn-2321-127xmentioning

confidence: 99%

To study the correlation of symptoms of angina with the diagnosis of ST Segment Elevation Myocardial Infarction (STEMI)

2017

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“…In the second issue, infective endocarditis [7] and pericardial disease [8] were discussed. The final edition provided an evidence-based and pragmatic approach to chest pain and acute coronary syndromes [9] and suspected tachyarrhythmias in the emergency room. [10] Upon this background, the main goals of the HF review were to: (i) emphasise how to make the diagnosis of HF; (ii) highlight clues for recognition of the underlying aetiology of HF; (iii) review the pathophysiology of HF; and (iv) provide a simplified approach to management of HF.…”

Section: Ntusi Et Al Respondmentioning

confidence: 99%

Topic reviews need to be robust

et al. 2016

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“…Визнаними ключовими компонента-ми ефективної оцінки болю в грудній клітці є анамнез, огляд, електрокардіограма (ЕКГ) у 12 відведеннях і оцінка серцевих біомаркерів [11]. Кількісний ЕКГ аналіз форм хвиль комплексів PQRST забезпечує неінвазійне відображення ста-ну метаболічного середовища міокарда і є потен-ційно корисним інструментом для оптимізації стратегії ургентного лікування [13].…”

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