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The DOI matches its Crossref record; 16 of the 16 references it cites were found in a registry or an index.

Oxygen Therapy in Suspected Acute Myocardial Infarction

Open access
Hofmann, Robin, James, Stefan K., Jernberg, Tomas, Lindahl, Bertil, Erlinge, David, Witt, Nils, Arefalk, Gabriel, Frick, Mats, Alfredsson, Joakim, Nilsson, Lennart, Ravn-Fischer, Annica, Omerovic, Elmir, Kellerth, Thomas, Sparv, David, Ekelund, Ulf, Linder, Rickard, Ekström, Mattias, Lauermann, Jörg, Haaga, Urban, Pernow, John, Östlund, Ollie, Herlitz, Johan, Svensson, Leif·2017·New England Journal of Medicine

Abstract

BACKGROUND: The clinical effect of routine oxygen therapy in patients with suspected acute myocardial infarction who do not have hypoxemia at baseline is uncertain. METHODS: In this registry-based randomized clinical trial, we used nationwide Swedish registries for patient enrollment and data collection. Patients with suspected myocardial infarction and an oxygen saturation of 90% or higher were randomly assigned to receive either supplemental oxygen (6 liters per minute for 6 to 12 hours, delivered through an open face mask) or ambient air. RESULTS: A total of 6629 patients were enrolled. The median duration of oxygen therapy was 11.6 hours, and the median oxygen saturation at the end of the treatment period was 99% among patients assigned to oxygen and 97% among patients assigned to ambient air. Hypoxemia developed in 62 patients (1.9%) in the oxygen group, as compared with 254 patients (7.7%) in the ambient-air group. The median of the highest troponin level during hospitalization was 946.5 ng per liter in the oxygen group and 983.0 ng per liter in the ambient-air group. The primary end point of death from any cause within 1 year after randomization occurred in 5.0% of patients (166 of 3311) assigned to oxygen and in 5.1% of patients (168 of 3318) assigned to ambient air (hazard ratio, 0.97; 95% confidence interval [CI], 0.79 to 1.21; P=0.80). Rehospitalization with myocardial infarction within 1 year occurred in 126 patients (3.8%) assigned to oxygen and in 111 patients (3.3%) assigned to ambient air (hazard ratio, 1.13; 95% CI, 0.88 to 1.46; P=0.33). The results were consistent across all predefined subgroups. CONCLUSIONS: Routine use of supplemental oxygen in patients with suspected myocardial infarction who did not have hypoxemia was not found to reduce 1-year all-cause mortality. (Funded by the Swedish Heart-Lung Foundation and others; DETO2X-AMI ClinicalTrials.gov number, NCT01787110 .).

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Metadata

Authors
Hofmann, R., James, S. K., Jernberg, T., Lindahl, B., Erlinge, D., Witt, N., Arefalk, G., Frick, M., Alfredsson, J., Nilsson, L., Ravn-Fischer, A., Omerovic, E., Kellerth, T., Sparv, D., Ekelund, U., Linder, R., Ekström, M., Lauermann, J., Haaga, U., Pernow, J., Östlund, O., Herlitz, J., & Svensson, L.
Venue
New England Journal of Medicine
Published
2017-09-28
Volume
377
Issue
13
Pages
1240-1249
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W2747404832
Cited by
384
References
16
FWCI
29.17
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Oxygen Therapy in Suspected Acute Myocardial Infarction. https://app.cochat.ai/papers/10.1056/nejmoa1706222
The paper
Hofmann, R., James, S. K., Jernberg, T., Lindahl, B., Erlinge, D., Witt, N., Arefalk, G., Frick, M., Alfredsson, J., Nilsson, L., Ravn-Fischer, A., Omerovic, E., Kellerth, T., Sparv, D., Ekelund, U., Linder, R., Ekström, M., Lauermann, J., Haaga, U., . . . Svensson, L. (2017). Oxygen Therapy in Suspected Acute Myocardial Infarction. New England Journal of Medicine. https://doi.org/10.1056/nejmoa1706222

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.