Treatment and Outcomes of Patients With Suspected Acute Coronary Syndromes in Relation to Initial Diagnostic Impressions (Insights from the Canadian Global Registry of Acute Coronary Events [GRACE] and Canadian Registry of Acute Coronary Events [CANRACE])
| العنوان: | Treatment and Outcomes of Patients With Suspected Acute Coronary Syndromes in Relation to Initial Diagnostic Impressions (Insights from the Canadian Global Registry of Acute Coronary Events [GRACE] and Canadian Registry of Acute Coronary Events [CANRACE]) |
|---|---|
| المؤلفون: | Krishnan Ramanathan, Alan Bagnall, Francois R. Grondin, David Brieger, Robert C. Welsh, Kim A. Eagle, Raymond T. Yan, Gabor Gyenes, Ravi R. Bajaj, Andrew T. Yan, Shaun G. Goodman |
| المصدر: | The American Journal of Cardiology. 111:202-207 |
| بيانات النشر: | Elsevier BV, 2013. |
| سنة النشر: | 2013 |
| مصطلحات موضوعية: | Male, Canada, medicine.medical_specialty, Acute coronary syndrome, medicine.medical_treatment, Risk Assessment, Electrocardiography, Percutaneous Coronary Intervention, Predictive Value of Tests, Risk Factors, Internal medicine, Humans, Medicine, Hospital Mortality, Prospective Studies, Registries, Myocardial infarction, Acute Coronary Syndrome, Prospective cohort study, Aged, Cardiac catheterization, Framingham Risk Score, business.industry, Percutaneous coronary intervention, Middle Aged, Prognosis, medicine.disease, Clopidogrel, Survival Rate, Cardiology, Female, Cardiology and Cardiovascular Medicine, business, Risk assessment, Follow-Up Studies, medicine.drug |
| الوصف: | The early diagnosis of acute coronary syndrome (ACS) remains challenging, and a considerable proportion of patients are diagnosed with "possible" ACS on admission. The Global Registry of Acute Coronary Events (GRACE/GRACE(2)) and Canadian Registry of Acute Coronary Events (CANRACE) enrolled 16,618 Canadian patients with suspected ACS in 1999 to 2008. We compared the demographic and clinical characteristics, use of cardiac procedures, prognostic accuracy of the GRACE risk score, and in-hospital outcomes between patients given an admission diagnosis of "definite" versus "possible" ACS by the treating physician. Overall, 11,152 and 5,466 patients were given an initial diagnosis of "definite" ACS and "possible" ACS, respectively. Patients with a "possible" ACS had higher GRACE risk score (median 130 vs 125) and less frequently received aspirin, clopidogrel, heparin, or β blockers within the first 24 hours of presentation and assessment of left ventricular function, stress testing, cardiac catheterization, and percutaneous coronary intervention (all p |
| تدمد: | 0002-9149 |
| DOI: | 10.1016/j.amjcard.2012.09.018 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b449d775c9aeed3ff5f88bb2660e88a7 https://doi.org/10.1016/j.amjcard.2012.09.018 |
| Rights: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....b449d775c9aeed3ff5f88bb2660e88a7 |
| قاعدة البيانات: | OpenAIRE |
كن أول من يترك تعليقا!