The American Journal of Medicine
Volume 117, Issue 3 , Pages 145-150 , 1 August 2004

Prognostic value of the admission electrocardiogram in patients with unstable angina/non–ST-segment elevation myocardial infarction treated with very early revascularization

  • Christian Mueller, MD

      Affiliations

    • Herz-Zentrum (CM, F-JN, WP, HJB), Bad Krozingen, Germany
    • University Hospital (CM, APP), Basel, Switzerland
    • Corresponding Author InformationRequests for reprints should be addressed to Professor Christian Mueller, MD, Medizinische Klinik A, Universitätsklinik Basel, Petersgraben 4, CH-4031 Basel, Switzerland
    • ,
  • Franz-Josef Neumann, MD

      Affiliations

    • Herz-Zentrum (CM, F-JN, WP, HJB), Bad Krozingen, Germany
    • ,
  • Wolfgang Perach, MD

      Affiliations

    • Herz-Zentrum (CM, F-JN, WP, HJB), Bad Krozingen, Germany
    • ,
  • André P Perruchoud, MD

      Affiliations

    • University Hospital (CM, APP), Basel, Switzerland
    • ,
  • Heinz J Buettner, MD

      Affiliations

    • Herz-Zentrum (CM, F-JN, WP, HJB), Bad Krozingen, Germany

Received 29 May 2003 ,Accepted 3 February 2004.

References 

  1. Braunwald E, Antman EM, Beasley JW, et al. ACC/AHA 2002 guideline update for the management of patients with unstable angina and non-ST-segment elevation acute myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on the Management of Patients with Unstable Angina). 2002. Available at: http://www.acc.org/clinical/guidelines/unstable/unstable.pdf. Accessed on December 17th, 2003
  2. The Task Force on the Management of Acute Coronary Syndromes of the European Society of Cardiology . Management of acute coronary syndromes in patients presenting without ST-segment elevation. Eur Heart J. 2002;23:1809–1840
  3. Haines DE, Raabe DS, Gundel WD, Wackers FJ. Anatomic and prognostic significance of new T-wave inversion in unstable angina. Am J Cardiol. 1983;52:14–18
  4. Granborg J, Grande P, Pedersen A. Diagnostic and prognostic implications of transient isolated negative T waves in suspected acute myocardial infarction. Am J Cardiol. 1986;57:203–207
  5. Goldman L, Weinberg M, Weisberg M, et al.  A computer protocol to predict myocardial infarction in emergency department patients with chest pain. N Engl J Med. 1988;318:797–803
  6. Goldman L, Cook EF, Johnson PA, et al.  Prediction of the need for intensive care in patients who come to emergency departments with acute chest pain. N Engl J Med. 1996;334:1498–1504
  7. Severi S, Orsini E, Marraccini P, et al.  The basal electrocardiogram and the exercise stress test in assessing prognosis in patients with unstable angina. Eur Heart J. 1988;9:441–446
  8. Cohen M, Hawkins L, Greenberg S, Fuster V. Usefulness of ST-segment changes in >2 leads on the emergency room electrocardiogram in either unstable angina pectoris or non-Q-wave myocardial infarction in predicting outcome. Am J Cardiol. 1991;67:1368–1373
  9. Stark ME, Vacek JL. The initial electrocardiogram during admission for myocardial infarction. Arch Intern Med. 1987;147:843–846
  10. Slater DK, Hlatky MA, Mark DB, et al.  Outcome in suspected acute myocardial infarction with normal or minimally abnormal admission electrocardiographic findings. Am J Cardiol. 1987;60:766–770
  11. for the Multicenter Chest Pain Study Rouan GW, Lee TH, Cook EF, et al.  Clinical characteristics and outcome of acute myocardial infarction in patients with initially normal or nonspecific electrocardiograms. Am J Cardiol. 1989;64:1087–1092
  12. Lee H-S, Cross SJ, Jennings KP, Rawles JM. Patients with suspected myocardial infarction who present with ST depression. Lancet. 1993;342:120–1207
  13. Cannon CP, McCabe CH, Stone PH, et al.  The electrocardiogram predicts one-year outcome of patients with unstable angina and non-Q wave myocardial infarction (results of the TIMI III registry ECG ancillary study). J Am Coll Cardiol. 1997;30:133–140
  14. Savonitto S, Ardissino D, Granger CB, et al.  Prognostic value of the admission electrocardiogram in acute coronary syndromes. JAMA. 1999;281:707–713
  15. Schechtman KB, Capone RJ, Kleiger RE, et al.  Risk stratification of patients with non-Q wave myocardial infarction (the critical role of ST-segment depression). Circulation. 1989;80:1148–1158
  16. Holmvang L, Andersen K, Dellborg M, et al.  Relative contributions of a single-admission 12-lead electrocardiogram and early 24-hour continuous electrocardiographic monitoring for early risk stratification in patients with unstable coronary artery disease. Am J Cardiol. 1999;83:667–674
  17. Hyde TA, French JK, Wong CK, et al.  Four-year survival of patients with acute coronary syndromes without ST-segment elevation and prognostic significance of 0.5-mm ST-segment depression. Am J Cardiol. 1999;84:379–385
  18. Jacobsen MD, Wagner GS, Holmvang L, et al.  Clinical significance of abnormal T waves in patients with non-ST-segment elevation acute coronary syndromes. Am J Cardiol. 2001;88:1225–1229
  19. Kaul P, Fu Y, Chang WC, et al.  Prognostic value of ST segment depression in acute coronary syndromes (insights from PARAGON-A applied to GUSTO-IIb). J Am Coll Cardiol. 2001;38:64–71
  20. Cannon CP, Weintraub WS, Demopoulos LA, et al.  Comparison of early invasive and conservative strategies in patients with unstable coronary syndromes treated with the glycoprotein IIb/IIIa inhibitor tirofiban. N Engl J Med. 2001;344:1879–1887
  21. Braunwald E. Unstable angina: a classification. Circulation. 1989;80:410–414
  22. Diderholm E, Andrén B, Frostfeldt G, et al.  ST depression in ECG at entry indicates severe coronary lesions and large benefits of an early invasive strategy in unstable coronary artery disease. The FRISC II ECG substudy. Eur Heart J. 2002;23:41–49
  23. Schmitt C, Lehmann G, Schmieder S, et al.  Diagnosis of acute myocardial infarction in angiographically documented occluded infarct vessel. Limitations of ST-segment elevation in standard and extended ECG leads. Chest. 2001;120:1540–1546
  24. Conlan MG, Folsom AR, Finch A, et al.  Associations of factor VIII and von Willebrand factor with age, race, sex, and risk factors for atherosclerosis (the Atherosclerosis Risk in Communities (ARIC) Study). Thromb Haemost. 1993;70:380–385
  25. Stegnar M, Pentek M. Fibrinolytic response to venous occlusion in healthy subjects (relationship to age, gender, body weight, blood lipids and insulin [published erratum in Thromb Res. 1993;72:173]). Thromb Res. 1993;69:81–92
  26. Johansson S, Bergstrand R, Schlossman D, et al.  Sex differences in cardioangiographic findings after myocardial infarction. Eur Heart J. 1984;5:374–381
  27. Levenson J, Pessana F, Gariepy J, et al.  Gender differences in wall shear-mediated brachial artery vasoconstriction and vasodilation. J Am Coll Cardiol. 2001;38:1668–1674
  28. Sketch MH, Mohiuddin SM, Lynch JD, et al.  Significant sex differences in the correlation of electrocardiographic exercise testing and coronary arteriograms. Am J Cardiol. 1975;36:169–173
  29. Hochman JS, McCabe CH, Stone PH, et al.  Outcome and profile of women and men presenting with acute coronary syndromes (a report from TIMI IIIB). J Am Coll Cardiol. 1997;30:141–148

PII: S0002-9343(04)00246-3

doi: 10.1016/j.amjmed.2004.02.034

The American Journal of Medicine
Volume 117, Issue 3 , Pages 145-150 , 1 August 2004

Article Tools

* Image Usage & Resolution