TY  - GEN
AB  - Delayed recognition of myocardial infarction (MI) in the emergency department is common when patients present without chest pain. This retrospective chart review examined atypical MI presentations among 316 patients seen at two emergency departments from April 2004 to August 2006. Of patients diagnosed with MI, 38.6% presented with unrecognized, atypical symptoms. Pain in non‑chest areas was the strongest predictor of atypical MI and was associated with diagnostic and treatment delays. Additional predictors included dizziness, prior stroke, age over 65 years, and white race. Findings support development of emergency department guidelines to improve early identification and timely treatment of atypical MI.
AD  - Oregon Health and Science University
AU  - Nordblom, Judith
DA  - 2007
DO  - 10.6083/M4GQ6VRW
DO  - DOI
ED  - Felver, Linda
ED  - Chair
ID  - 860
KW  - Aged
KW  - Myocardial Infarction
KW  - Retrospective Studies
KW  - Time-to-Treatment
KW  - Emergency Service, Hospital
L1  - https://digitalcollections.ohsu.edu/record/860/files/863_etd.pdf
L2  - https://digitalcollections.ohsu.edu/record/860/files/863_etd.pdf
L4  - https://digitalcollections.ohsu.edu/record/860/files/863_etd.pdf
LK  - https://digitalcollections.ohsu.edu/record/860/files/863_etd.pdf
N2  - Delayed recognition of myocardial infarction (MI) in the emergency department is common when patients present without chest pain. This retrospective chart review examined atypical MI presentations among 316 patients seen at two emergency departments from April 2004 to August 2006. Of patients diagnosed with MI, 38.6% presented with unrecognized, atypical symptoms. Pain in non‑chest areas was the strongest predictor of atypical MI and was associated with diagnostic and treatment delays. Additional predictors included dizziness, prior stroke, age over 65 years, and white race. Findings support development of emergency department guidelines to improve early identification and timely treatment of atypical MI.
PB  - Oregon Health and Science University
PY  - 2007
T1  - Recognition of atypical myocardial infarctions in the older adult presenting to the emergency department
TI  - Recognition of atypical myocardial infarctions in the older adult presenting to the emergency department
UR  - https://digitalcollections.ohsu.edu/record/860/files/863_etd.pdf
Y1  - 2007
ER  -