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Patients admitted to the emergency room with symptoms indicative of acute myocardial infarction
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1991 (English)In: Journal of Internal Medicine, ISSN 0954-6820, E-ISSN 1365-2796, Vol. 230, no 3, p. 251-258Article in journal (Refereed) Published
Abstract [en]

All 7157 patients (55% men) admitted to the emergency room with chest pain or other symptoms indicative of acute myocardial infarction during a period of 21 months were registered consecutively. Chest pain was reported by 93% of the patients. On the basis of history, clinical examination, and electrocardiogram in the emergency room, all patients were prospectively classified in one of four categories: (i) obvious infarction (4% of all patients): (ii) strongly suspected infarction (20%): (iii) vague suspicion of infarction (35%); and (iv) no suspected infarction (41%). In patients with no suspected infarction (n = 2910), musculoskeletal (26%), obscure (21%) and psychogenic origins (16%) of the symptoms occurred most frequently. We conclude that few of the patients had an obvious infarction on admission, and that a musculoskeletal origin of the symptoms occurred most frequently in patients with no suspected infarction.

Place, publisher, year, edition, pages
Wiley-Blackwell Publishing Ltd. , 1991. Vol. 230, no 3, p. 251-258
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Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hb:diva-7692DOI: 10.1111/j.1365-2796.1991.tb00439.xLocal ID: 2320/8518OAI: oai:DiVA.org:hb-7692DiVA, id: diva2:888573
Available from: 2015-12-22 Created: 2015-12-22 Last updated: 2017-09-29Bibliographically approved

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Herlitz, Johan

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