A description of the characteristics and outcome of patients hospitalized for acute chest pain in relation to whether they were admitted to the coronary care unit or not in the thrombolytic era

2002 ◽  
Vol 82 (3) ◽  
pp. 279-287 ◽  
Author(s):  
Johan Herlitz ◽  
Björn W Karlson ◽  
Thomas Karlsson ◽  
Lillemor Svensson ◽  
Elisabeth Zehlertz och Björn Kalin
Keyword(s):  
Chest Pain ◽  
Coronary Care Unit ◽  
Acute Chest Pain ◽  
Coronary Care

Early Diagnosis of Myocardial Infarction by Timed Sequential Enzyme Measurements

1988 ◽  
Vol 25 (4) ◽  
pp. 376-382 ◽  
Author(s):  
P O Collinson ◽  
S B Rosalki ◽  
M Flather ◽  
R Wolman ◽  
T Evans
Keyword(s):  
Myocardial Infarction ◽  
Chest Pain ◽  
Lactate Dehydrogenase ◽  
Coronary Care Unit ◽  
Acute Chest Pain ◽  
Serum Samples ◽  
Cardiac Enzymes ◽  
History Of ◽  
Coronary Care ◽  
Lactate Dehydrogenase Isoenzymes

Serum samples from patients admitted to a coronary care unit with a history of acute chest pain suggestive of myocardial infarction in the previous 12 h were obtained on admission and at 6 and 12 h, thereafter. Creatine kinase (CK), CK-MB isoenzyme, CK-MM sub-bands, myoglobin, and lactate dehydrogenase (LD) isoenzymes were examined. Changes were evaluated in relation to the diagnosis obtained from clinical examination, serial electrocardiography and ‘routine’ cardiac enzymes (CK, aspartate transaminase and alpha-hydroxy butyrate dehydrogenase daily for 3 days following admission). The slope of the logarithms of CK, CK-MB activity and CK-MB concentration in the early post infarct period fully distinguished between infarct and non-infarct patients. Measurement of myoglobin and lactate dehydrogenase isoenzymes was less sensitive. Serial estimation of CK-MM sub-band patterns allowed the time from infarction to be estimated. Serial estimation of CK in the 12 h following admission can be substituted for conventional daily enzyme estimations for the diagnosis of acute myocardial infarction in patients with onset of chest pain within the previous 12 h. This could reduce laboratory and in-patient costs.

M-Complex: The Electrocardiographic Sign of Impending Cardiac Rupture following Myocardial Infarction

1972 ◽  
Vol 17 (10) ◽  
pp. 319-325 ◽  
Author(s):  
M. Afzal Mir
Keyword(s):  
Myocardial Infarction ◽  
Chest Pain ◽  
Coronary Care Unit ◽  
Progressive Increase ◽  
Injury Pattern ◽  
Cardiac Rupture ◽  
Time Of Death ◽  
St Segment ◽  
Coronary Care ◽  
Electrocardiogram Ecg

Out of 284 patients admitted to the Coronary-Care Unit, 60 patients showed an acute monophasic injury pattern (M-Complex) on their initial electrocardiogram (ECG). There were 13 fatalities on the first day of myocardial infarction; 6 from the M-complex group. Three of these 6 patients died with cardiac rupture. The ECG features of these 3 patients were compared with the 3 non-rupture patients. A progressive increase in the elevated R-ST segment of the M-complex with an upward ‘pull’ of the R-ST junction, proved to be an ominous ECG sign of impending cardiac rupture in patients with protracted chest pain and persistent hypertenison. The 3 non-rupture patients remained in a hypotensive state from admission to the time of death. Atrioventricular block and A-V junctional tachycardia were the commonest rhythm disturbances in patients dying with cardiac rupture.

Coronary care unit patients' and nurses' ratings of intensity of ischaemic chest pain

1994 ◽  
Vol 10 (2) ◽  
pp. 83-88 ◽  
Author(s):  
David R. Thompson ◽  
Rosemary A. Webster ◽  
Terence W. Sutton
Keyword(s):  
Chest Pain ◽  
Coronary Care Unit ◽  
Coronary Care

Prospective evaluation of a chest pain pathway in the coronary care unit at green lane hospital; One year follow up study

2003 ◽  
Vol 12 (2) ◽  
pp. A34
Author(s):  
John J. Edmond ◽  
John K. French ◽  
Hanneke Henny ◽  
Ralph A.H. Stewart ◽  
Teena West ◽  
...  
Keyword(s):  
Chest Pain ◽  
Coronary Care Unit ◽  
Prospective Evaluation ◽  
Follow Up Study ◽  
Pain Pathway ◽  
Coronary Care ◽  
One Year

Panic Disorder and Chest Pain in the Coronary Care Unit

1992 ◽  
Vol 33 (3) ◽  
pp. 302-309 ◽  
Author(s):  
Cameron Carter ◽  
Richard Maddock ◽  
Ezra Amsterdam ◽  
Steven McCormick ◽  
Christy Waters ◽  
...  
Keyword(s):  
Chest Pain ◽  
Panic Disorder ◽  
Coronary Care Unit ◽  
Coronary Care

scholarly journals Influence of cigarette smoking on the outcome of coronary care unit admissions with chest pain.

1992 ◽  
Vol 68 (801) ◽  
pp. 562-565 ◽  
Author(s):  
S. Mallya ◽  
P. M. Calverley ◽  
I. A. MacFarlane ◽  
S. Hughes ◽  
G. Johnston ◽  
...  
Keyword(s):  
Chest Pain ◽  
Cigarette Smoking ◽  
Coronary Care Unit ◽  
Coronary Care

scholarly journals Zero Calcium Score as a Filter for Further Testing in Patients Admitted to the Coronary Care Unit with Chest Pain

2017 ◽  
Author(s):  
Luis Cláudio Lemos Correia ◽  
Fábio P. Esteves ◽  
Manuela Carvalhal ◽  
Thiago Menezes Barbosa de Souza ◽  
Nicole de Sá ◽  
...  
Keyword(s):  
Chest Pain ◽  
Coronary Care Unit ◽  
Calcium Score ◽  
Coronary Care ◽  
Zero Calcium Score
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