A General Practitioner Electrocardiogram Service

1968 ◽  
Vol 13 (7) ◽  
pp. 223-225 ◽  
Author(s):  
A. R. Lorimer ◽  
J. A. Kennedy
Keyword(s):  
Myocardial Infarction ◽  
Chest Pain ◽  
General Practitioner ◽  
Return To Work ◽  
General Practitioners ◽  
Myocardial Ischaemia ◽  
Direct Access ◽  
Recent Myocardial Infarction ◽  
Delay In Diagnosis ◽  
Appointment System

A direct access electrocardiographic service for ambulant patients was opened to general practitioners in 1965. The reasons for an appointment system are presented and experiences discussed. The service has been helpful in the assessment of chest pain particularly in avoiding delay in diagnosis and return to work. Of 1,054 patients seen in 1966 and 1967, 288 (27.2%) had evidence of myocardial ischaemia and a recent myocardial infarction was present in 32 (3.2%).

Timing and Course of Leucocyte Aggregation in Myocardial Infarction

1995 ◽  
Vol 74 (05) ◽  
pp. 1221-1224 ◽  
Author(s):  
Alberto Galante ◽  
Antonio Pietroiusti ◽  
Bruno Domenici ◽  
Andrea Magrini ◽  
Sandro Carta ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Chest Pain ◽  
Myocardial Ischaemia ◽  
Clinical Implications ◽  
Leukocyte Aggregation

SummaryIn order to evaluate the pathophysiological relevance and clinical implications of leukocyte rheology in myocardial ischaemia we measured the percentage of aggregated leukocytes in 43 subjects with acute substernal pain before diagnosis. The percentage of aggregated leukocytes was significantly higher in 16 patients with subsequent diagnosis of myocardial infarction with respect to 11 with angina and 16 with non ischaemic chest pain (4.75 ± 0.88, 3.43 ± 0.65 and 1.52 ±0.32 respectively p <0.01). The percentage of aggregated leukocytes was also evaluated in another group of 46 patients hospitalized for myocardial infarction. Among these, aggregated leukocytes were significantly higher in those with residual ischaemia, with respect to those without residual ischaemia (7.4 ± 1.1 vs 3.5 ±0.6, p <0.01).In conclusion, leukocyte aggregation is precociously increased after myocardial ischaemia. It may be a marker of residual ischaemia in patients with myocardial infarction.

Beta Thromboglobulin and Myocardial Infarction

1979 ◽  
Author(s):  
A. Hughes ◽  
S. Daunt ◽  
G. Vass ◽  
J. Wickes
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Chest Pain ◽  
Myocardial Ischaemia ◽  
Normal Population ◽  
Acute Chest Pain ◽  
Specific Protein ◽  
Normal Individuals ◽  
Significant Difference ◽  
Secondary Phenomenon

Beta thromboglobulin. a platelet specific protein liberated during the release reaction, has been measured in normal individuals (n=285),and in patients presenting with acute chest pain. The latter group consisted of those with acute myocardial infarction (n=19),those with acute myocardial ischaemia (n=21),and those with chest pain of non cardiac origin (n-7). In the patient groups beta thromboglobulin was measured on admission to hospital, and thereafter daily until the patient was discharged. There was no significant difference between the normal population (mean 22.5 ng/ml),and the patients with with non cardiac chest pain (mean .24 ng/ml). There was a significant difference between the normal population and the patients with acute myocardial infarction (mean 34 ng/ml),and acute myocardial ischaemia (mean 33 ng/ml), p<0.001. There was also a significant difference between these two groups and the patients with non cardiac chest pain, p<0.01.We would conclude that platelet activation occurs in acute myocardial infarction and ischaemia, but it is not clear if this is a primary or a secondary phenomenon.

scholarly journals POSTOPERATIVE MYOCARDIAL ISCHAEMIA IN PATIENTS WITH RECENT MYOCARDIAL INFARCTION

1991 ◽  
Vol 67 (3) ◽  
pp. 317-319 ◽  
Author(s):  
H. METZLER ◽  
E. MAHLA ◽  
B. ROTMAN ◽  
P. REHAK ◽  
S. POTISK ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Myocardial Ischaemia ◽  
Recent Myocardial Infarction

scholarly journals Use of the maximal ST/HR slope to estimate myocardial ischaemia after recent myocardial infarction.

Heart ◽  
1987 ◽  
Vol 57 (6) ◽  
pp. 512-520 ◽  
Author(s):  
N Bishop ◽  
G Hart ◽  
R M Boyle ◽  
J B Stoker ◽  
D R Smith ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Myocardial Ischaemia ◽  
Recent Myocardial Infarction

Postmarketing Surveillance Based on Electronic Patient Records: The IPCI Project

1999 ◽  
Vol 38 (04/05) ◽  
pp. 339-344 ◽  
Author(s):  
J. van der Lei ◽  
B. M. Th. Mosseveld ◽  
M. A. M. van Wijk ◽  
P. D. van der Linden ◽  
M. C. J. M. Sturkenboom ◽  
...  
Keyword(s):  
General Practitioner ◽  
General Practitioners ◽  
Validation Studies ◽  
Resource Planning ◽  
Routine Practice ◽  
Patient Records ◽  
Postmarketing Surveillance ◽  
Electronic Patient Records ◽  
Use Of Data ◽  
Data Requirements

AbstractResearchers claim that data in electronic patient records can be used for a variety of purposes including individual patient care, management, and resource planning for scientific research. Our objective in the project Integrated Primary Care Information (IPCI) was to assess whether the electronic patient records of Dutch general practitioners contain sufficient data to perform studies in the area of postmarketing surveillance studies. We determined the data requirements for postmarketing surveil-lance studies, implemented additional software in the electronic patient records of the general practitioner, developed an organization to monitor the use of data, and performed validation studies to test the quality of the data. Analysis of the data requirements showed that additional software had to be installed to collect data that is not recorded in routine practice. To avoid having to obtain informed consent from each enrolled patient, we developed IPCI as a semianonymous system: both patients and participating general practitioners are anonymous for the researchers. Under specific circumstances, the researcher can contact indirectly (through a trusted third party) the physician that made the data available. Only the treating general practitioner is able to decode the identity of his patients. A Board of Supervisors predominantly consisting of participating general practitioners monitors the use of data. Validation studies show the data can be used for postmarketing surveillance. With additional software to collect data not normally recorded in routine practice, data from electronic patient record of general practitioners can be used for postmarketing surveillance.

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