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Long-term morbidity in patients where the initial suspicion of myocardial infarction was not-confirmed
[external].
1988 (English)In: Clinical Cardiology, ISSN 0160-9289, E-ISSN 1932-8737, Vol. 11, no 4, p. 209-214Article in journal (Refereed) Published
Abstract [en]

The morbidity and mortality during a 5-year follow-up in thcoronary care unit with chest pain presenting an initial suspicion of acute infarction, but in whom the diagnosis could not be confirmed, is reported. They were divided into four groups: Possible myocardial infarction (29%), angina pectoris (24%), chest pain of uncertain origin (32%), and nonischemic cause of chest pain (15%). The overall 5-year mortality rate was 13.3 % and did not differ substantially between the four groups. During the 5-year follow-up a confirmed myocardial infarction developed in 28% and 22% among patients with the diagnosis possible infarction and angina pectoris, respectively, and in about 10% of the remaining patients. Stroke developed in 4% of patients with possible infarction and in 2-3% in the remaining subgroups. In all, 59% of the patients were rehospitalized for a mean duration of 30 days in hospital. Among survivors at 5 years, 54% reported chest pain equivalent to angina pectoris and 25% had chest pain daily. A high prevalence of angina pectoris, a high frequency of rehospitalization due to chest pain, and a high consumption of cardiovascular drugs could be found in all four groups.

Place, publisher, year, edition, pages
John Wiley & Sons, Inc. , 1988. Vol. 11, no 4, p. 209-214
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Medical and Health Sciences
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URN: urn:nbn:se:hb:diva-7649DOI: 10.1002/clc.4960110404Local ID: 2320/8434OAI: oai:DiVA.org:hb-7649DiVA, id: diva2:888530
Available from: 2015-12-22 Created: 2015-12-22 Last updated: 2017-09-27Bibliographically approved

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Herlitz, Johan

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