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Appearance of T-wave inversions without raised serum enzyme activity in suspected acute myocardial infarction: clinical outcome in relation to subendocardial infarction
[external].
1986 (English)In: Clinical Cardiology, ISSN 0160-9289, E-ISSN 1932-8737, Vol. 9, no 5, 209-214 p.Article in journal (Refereed) Published
Abstract [en]

In 67 patients with a clinical history of suspected acute myocardial infarction (MI) who developed T-wave inversions in standard ECG and had normal serum aspartate aminotransferase activity (possible MI) the clinical outcome was compared with that in patients fulfilling criteria for subendocardial infarction. Patients with possible MI had a lower mortality (p = 0.02) and also a lower reinfarction rate (p = 0.14) during the first 2 years as compared with those with subendocardial MI. Although patients with subendocardial MI had more problems with chest pain in the acute phase, angina pectoris occurred more frequently in patients with possible MI during a longer follow-up period. Congestive heart failure occurred more frequently in patients with subendocardial MI during initial hospitalization, whereas treatment for heart failure appeared similar in the two groups during a longer follow-up time. We conclude that the clinical course in patients with possible MI, here defined as chest pain and appearance of T-wave inversions without elevation of serum enzyme activity, seems to differ from that in patients with subendocardial MI, particularly regarding long-term survival and incidence of angina pectoris.

Place, publisher, year, edition, pages
John Wiley & Sons, Inc. , 1986. Vol. 9, no 5, 209-214 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hb:diva-7620DOI: 10.1002/clc.4960090508Local ID: 2320/8533OAI: oai:DiVA.org:hb-7620DiVA: diva2:888500
Available from: 2015-12-22 Created: 2015-12-22 Last updated: 2017-09-25Bibliographically approved

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