000000860 001__ 860
000000860 005__ 20260422111606.0
000000860 0247_ $$2DOI$$a10.6083/M4GQ6VRW
000000860 037__ $$aETD
000000860 245__ $$aRecognition of atypical myocardial infarctions in the older adult presenting to the emergency department
000000860 260__ $$bOregon Health and Science University
000000860 269__ $$a2007
000000860 336__ $$aDissertation
000000860 502__ $$bPh.D.
000000860 520__ $$aDelayed recognition of myocardial infarction (MI) in the emergency department is common when patients present without chest pain. This retrospective chart review examined atypical MI presentations among 316 patients seen at two emergency departments from April 2004 to August 2006. Of patients diagnosed with MI, 38.6% presented with unrecognized, atypical symptoms. Pain in non‑chest areas was the strongest predictor of atypical MI and was associated with diagnostic and treatment delays. Additional predictors included dizziness, prior stroke, age over 65 years, and white race. Findings support development of emergency department guidelines to improve early identification and timely treatment of atypical MI.
000000860 540__ $$fCC BY
000000860 542__ $$fIn copyright - single owner
000000860 650__ $$aAged$$014351
000000860 650__ $$aMyocardial Infarction$$022601
000000860 650__ $$aRetrospective Studies$$025415
000000860 650__ $$aTime-to-Treatment$$039959
000000860 650__ $$aEmergency Service, Hospital$$018352
000000860 691__ $$aSchool of Nursing$$041370
000000860 7001_ $$aNordblom, Judith$$uOregon Health and Science University$$041354
000000860 7201_ $$aFelver, Linda$$uOregon Health and Science University$$041354$$7Personal$$eChair
000000860 8564_ $$944954d4f-8828-4e13-89ea-ff4ef4872e87$$s1466955$$uhttps://digitalcollections.ohsu.edu/record/860/files/863_etd.pdf$$ePublic$$2143329a82a73861b5b044de6e8d62b99$$31
000000860 901__ $$a<p>These documents are archival records. They are retained for historical reference only. </p><p><b>Need an accessible version? Use the ‘Get Accessible Copy’ link above.</b></p>
000000860 905__ $$a/rest/prod/61/08/vb/27/6108vb275
000000860 909CO $$ooai:digitalcollections.ohsu.edu:860$$pstudent-work
000000860 956__ $$aGet Accessible Copy$$uhttps://ohsu.libwizard.com/f/requestaccessibledocument
000000860 980__ $$aTheses and Dissertations