Strategies for prognostic assessment of uncomplicated first myocardial infarction: 5-year follow-up study

Olona, Montserrat; Candell‐Riera, Jaume; Permanyer-Miralda, Gaietà; Castell, Joan Martí i; Barrabés, José A.; Domingo, Enric; Rosselló, Josep Miquel Bauçà; Vaqué, Josep; Soler‐Soler, Jordi

doi:10.1016/0735-1097(94)00503-i

Cited by 39 publications

(4 citation statements)

References 56 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Thus, submaximal exercise testing has an important role clinically for predischarge, postmyocardial infarction, or post-bypass surgery evaluations. Submaximal tests have been shown to be important in risk stratification 17,[20][21][22][23] for making appropriate activity recommendations, for recognizing the need for modification of the medical regimen, or for further interventions in patients who have sustained a cardiac event. A submaximal, pre-discharge test appears to be as predictive for future events as a symptom-limited test among patients less than 1 month after myocardial infarction.…”

Section: Submaximal Testingmentioning

confidence: 99%

Physical Fitness Evaluation

Kokkinos

2014

American Journal of Lifestyle Medicine

View full text Add to dashboard Cite

Objective: Students' physical fitness is declining, which highlights the urgent need for physical education to solve the students' physical and health problems. Physical education is an important part of students' physical exercise. In this study, a high school students perform a real-time monitoring of heart rate in the physical education, through the comprehensive evaluation of exercise intensity and exercise duration to understand the exercise load of physical education. Methods: The whole motion intensity is divided into three levels: low intensity exercise, medium intensity exercise and high intensity exercise (including extra high intensity exercise) according to the motion of the heart rate collected. Then the movement time of each intensity exercise was calculated. The exercise was scored according to the established evaluation criteria. In this study, we evaluated the exercise load from two aspects: exercise intensity and duration. Results: By monitoring the movement of heart rate and duration, in the same class, due to the different levels of effort, the effect of the movement of the students are different in spite of the movement ability of the students are close to. Conclusion: By monitoring the heart rate and movement duration, students daily exercise quantitative scores. The score visual feedbacks each students' daily exercise load and provides objective basis and instruction for physical education teachers, schools and the relevant administrative departments.

show abstract

Section: Submaximal Testingmentioning

confidence: 99%

Physical Fitness Evaluation

Kokkinos

2014

American Journal of Lifestyle Medicine

View full text Add to dashboard Cite

show abstract

“…Failure to differentiate between cardiac and non-cardiac origins of chest pain in the CPU can have severe consequences. When the chest pain returns, it is natural for a patient to seek further medical attention and these patients may or may not have been given instructions about recurrent pains during their first hospital admission (7, 9). As a result, investigation on whether or not the patient has received inappropriate treatment or been discharged without effective treatment is of vital importance.…”

Section: Introductionmentioning

confidence: 99%

Unscheduled Return Visits and Leaving the Chest Pain Unit Against Medical Advice

Jenab

Haghani

Jalali

et al. 2015

Iran Red Crescent Med J

View full text Add to dashboard Cite

Background:Rate of Unscheduled Return Visits (URVs) to the Emergency Department has been considered as a key indicator for evaluating the quality of the Emergency Department care for decades. A higher rate of URVs can have a negative impact on the quality of health care. Investigations of the reasons for these returns have indicated that many of these visits can be preventable.Objectives:Given that there are no clear findings about the frequency and reasons for 72 hours URVs to the Chest Pain Unit (CPU), in the present study, we investigated the causes of 72 hours URVs to our CPU in order to find out the inadequacies, and propose preventive strategies.Patients and Methods:This research was a single-center retrospective case control study in the setting of CPU of Tehran Heart Center (a 460-bed, tertiary-care teaching hospital), Tehran, Iran. The medical records of the patients who were presented to our CPU with the chief complaint of chest pain between December 28th, 2010 and February 28th, 2011 were reviewed. Of the 6247 eligible patients, forty-nine URVs that fulfilled our criteria were identified. The control group consisted of 196 patients who did not return to the Emergency Department during our study period.Results:Patient-related factors accounted for most 72 hours URVs (49%). Multivariable analysis revealed that in our CPU, leaving Against medical advice was the most important predictor for 72 hours URVs (P value < 0.001). Additionally, male sex, history of hypertension, first-visit disposition to observation unit and age were the other factors associated with URVs.Conclusions:Considering that the most frequent reason for our URVs was patient-related factors, where all cases had left the CPU Against Medical Advice (AMA) during their first attendance, we recommend that further appropriate strategies be devised to prevent leaving against medical advice.

show abstract

“…Residual ischemia after acute myocardial infarction (MI) is not uncommon, 1,2 and it is important to diagnose residual ischemia for risk stratification after acute MI 3,4 . ST‐segment response to exercise is the most widely used noninvasive indicator of myocardial ischemia, but its diagnostic value in detecting residual ischemia in patients with old MI is still controversial 5,6 .…”

Section: Introductionmentioning

confidence: 99%

“…Residual ischemia after acute myocardial infarction (MI) is not uncommon, 1,2 and it is important to diagnose residual ischemia for risk stratification after acute MI. 3,4 ST-segment response to exercise is the most widely used noninvasive indicator of myocardial ischemia, but its diagnostic value in detecting residual ischemia in patients with old MI is still controversial. 5,6 Concurrence of pathological Q waves and resting ST-segment elevation accompanied by reciprocal changes may entangle the diagnostic conditions in old MI patients with a wide variety of infarction size and site.…”

Section: Introductionmentioning

confidence: 99%