Chest ACCP Education Calendar
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Guest Access | Sign In via User Name/Password
This Article
Right arrow Full Text (PDF) Free
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Article Archive
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Karlson, B. W.
Right arrow Articles by Herlitz, J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Karlson, B. W.
Right arrow Articles by Herlitz, J.

Chest, Vol 105, 1442-1447, Copyright © 1994 by American College of Chest Physicians

ARTICLES

Prognosis and symptoms one year after discharge from the emergency department in patients with acute chest pain

BW Karlson, I Wiklund, A Bengston and J Herlitz
Division of Cardiology, Sahlgrenska Hospital, Goteborg, Sweden.

BACKGROUND: A high proportion of patients admitted to a medical emergency department due to chest pain are directly sent home, since the initial suspicion of acute myocardial infarction (AMI) can be quickly ruled out. AIM: To describe the outcome of such patients during 1 year of follow-up in terms of mortality, development of AMI, and especially severity of symptoms 1 year after discharge. METHODS: All patients who during 21 months were admitted to the medical emergency department at Sahlgrenska Hospital, Goteborg, Sweden, due to chest pain, and who could be directly sent home, were prospectively followed up for 1 year. Their outcome was compared with patients who had chest pain and were hospitalized for AMI during the same time. RESULTS: Patients with chest pain directly sent home (n = 2,102) had a median age of 52 years (age range, 16 to 96 years), and 54 percent were men. The mortality during 1 year was 3 percent, and 3 percent developed AMI. As compared with patients with AMI, those who were directly sent home less frequently reported various cardiovascular symptoms, with the exception for chest pain at rest and palpitations. On the other hand, various emotional and psychosomatic symptoms were more frequently reported by patients who were directly sent home than by patients with AMI. CONCLUSION: Patients who came to a medical emergency department due to chest pain, and who were sent home, had a low risk of death and development of infarction during the following year. Survivors after 1 year do, however, more frequently report emotional and psychosomatic symptoms than survivors of AMI.


This article has been cited by other articles:


Home page
 Fam PractHome page
A. Ruigomez, L. A. G. Rodriguez, M.-A. Wallander, S. Johansson, and R. Jones
Chest pain in general practice: incidence, comorbidity and mortality
Fam. Pract., April 1, 2006; 23(2): 167 - 174.
[Abstract] [Full Text] [PDF]

Home page
 Emerg. Med. J.Home page
N S Demiryoguran, O Karcioglu, H Topacoglu, S Kiyan, D Ozbay, E Onur, T Korkmaz, and O F Demir
Anxiety disorder in patients with non-specific chest pain in the emergency setting
Emerg. Med. J., February 1, 2006; 23(2): 99 - 102.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
C. R. deFilippi, M. Tocchi, R. J. Parmar, S. Rosanio, G. Abreo, M. A. Potter, M. S. Runge, and B. F. Uretsky
Cardiac troponin T in chest pain unit patients without ischemic electrocardiographic changes: angiographic correlates and long-term clinical outcomes
J. Am. Coll. Cardiol., June 1, 2000; 35(7): 1827 - 1834.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1994 by the American College of Chest Physicians.