The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.
Sensitivity of Routine Clinical Criteria for Diagnosing Myocardial Infarction Within 24 Hours of Hospitalization
Abstract
Myocardial infarction was diagnosed in 431 (30%) of 1460 patients with acute chest pain who had serial enzyme testing after admission to intensive or intermediate care units at three teaching and three community hospitals. The diagnosis was made within 12 hours of admission in 331 (77%) patients and within 24 hours in 415 (96%). Of the 16 patients with myocardial infarction who did not have enzyme abnormalities within 24 hours, 9 (56%) had recurrent ischemic pain during this 24-hour period. Of 451 patients who had neither enzyme abnormalities nor recurrent ischemic pain in the first 24 hours, only 7 (2%) ultimately met diagnostic criteria for myocardial infarction. These findings were prospectively validated in an independent testing set of 275 patients with myocardial infarction, 271 (99%) of whom either met diagnostic criteria for myocardial infarction or had recurrent ischemic pain within 24 hours of admission. These data suggest that 24 hours is nearly always a sufficient period to exclude myocardial infarction in patients without recurrent chest pain.
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Citations
Cites
Clinical Prediction Rules: Applications and Methodological Standards
Wasson, J. H., Sox, H. C., Neff, R. K., & Goldman, L. (1985) · New England Journal of Medicine · doi:10.1056/nejm198509263131306 · Cited by 1,357
Self-citation
Cited by
Hamm, C. W., Goldmann, B. U., Heeschen, C., Kreymann, G., Berger, J., & Meinertz, T. (1997) · New England Journal of Medicine · doi:10.1056/nejm199712043372302 · Cited by 1,039
Troponin: the biomarker of choice for the detection of cardiac injury
Babuin, L., & Jaffe, A. S. (2005) · Canadian Medical Association Journal · doi:10.1503/cmaj.050141 · Cited by 686
Lee, T. H., Rouan, G. W., Weisberg, M. C., Brand, D. A., Acampora, D., Stasiulewicz, C., Walshon, J., Terranova, G., Gottlieb, L., Goldstein-Wayne, B., et al. (1987) · The American Journal of Cardiology · doi:10.1016/0002-9149(87)90217-7 · Cited by 647
Self-citationPuleo, P. R., Meyer, D., Wathen, C., Tawa, C. B., Wheeler, S., Hamburg, R. J., Ali, N., Obermueller, S. D., Triana, F. J., Zimmerman, J. L., et al. (1994) · New England Journal of Medicine · doi:10.1056/nejm199409013310901 · Cited by 327
Diagnostic Marker Cooperative Study for the Diagnosis of Myocardial Infarction
Zimmerman, J., Fromm, R., Meyer, D., Boudreaux, A., Wun, C.-C. C., Smalling, R., Davis, B., Habib, G., & Roberts, R. (1999) · Circulation · doi:10.1161/01.cir.99.13.1671 · Cited by 295
Metadata
- Authors
- LEE, T. H., ROUAN, G. W., WEISBERG, M. C., BRAND, D. A., COOK, E. F., ACAMPORA, D., & GOLDMAN, L.
- Venue
- Annals of Internal Medicine
- Publisher
- American College of Physicians
- Published
- 1987-02-01
- Volume
- 106
- Issue
- 2
- Pages
- 181-186
- ISSN
- 0003-4819 (ISSN-L)
- 1539-3704
- OpenAlex
- W2086588667
- Cited by
- 217
- References
- 1
- FWCI
- 12.21
- Type
- journal article
- Language
- en
- Open access
- closed
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- The paper
- LEE, T. H., ROUAN, G. W., WEISBERG, M. C., BRAND, D. A., COOK, E. F., ACAMPORA, D., & GOLDMAN, L. (1987). Sensitivity of Routine Clinical Criteria for Diagnosing Myocardial Infarction Within 24 Hours of Hospitalization. Annals of Internal Medicine. https://doi.org/10.7326/0003-4819-106-2-181
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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