Different treatments and outcomes of consecutive patients with non-ST-elevation myocardial infarction depending on initial electrocardiographic changes (results of the Acute Coronary Syndromes [ACOS] Registry)

被引:23
作者
Wienbergen, H
Gitt, AK
Schiele, R
Juenger, C
Heer, T
Vogel, C
Gottwik, M
Senges, J
机构
[1] Herzzentrum Ludwigshafen, Med Klin B, D-67063 Ludwigshafen, Germany
[2] Klinikum Nurnberg Sud, Nurnberg, Germany
关键词
D O I
10.1016/j.amjcard.2004.02.069
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Of 6,302 consecutive patients with acute non-ST-elevation myocardial infarction, 42.8% presented with ST depression, 31.9% showed no significant electrocardiographic changes, and 25.3% presented with T inversion. In comparison with patients with T inversion or no significant electrocardiographic changes, patients with ST depression more often had 3-vessel coronary disease, received less acute therapy despite a strong benefit in a subgroup analysis, and had a worse clinical outcome even after adjustment in a multivariate analysis. Patients with T inversion received a high rate of acute therapy and had a better outcome than did patients without significant electrocardiographic changes and patients with ST depression. (C) 2004 by Excerpta Medica, Inc.
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收藏
页码:1543 / 1546
页数:4
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