Cardiac care unit admission criteria for suspected acute myocardial infarction in new-onset atrial fibrillation
dc.contributor.author | Friedman, Harold Z. | en_US |
dc.contributor.author | Weber-Bornstein, Nancy | en_US |
dc.contributor.author | DeBoe, Scott F. | en_US |
dc.contributor.author | Mancini, G. B. John | en_US |
dc.date.accessioned | 2006-04-07T19:55:31Z | |
dc.date.available | 2006-04-07T19:55:31Z | |
dc.date.issued | 1987-04-01 | en_US |
dc.identifier.citation | Friedman, Harold Z., Weber-Bornstein, Nancy, Deboe, Scott F., Mancini, G. B. John (1987/04/01)."Cardiac care unit admission criteria for suspected acute myocardial infarction in new-onset atrial fibrillation." The American Journal of Cardiology 59(8): 866-869. <http://hdl.handle.net/2027.42/26764> | en_US |
dc.identifier.uri | http://www.sciencedirect.com/science/article/B6T10-4C76BTV-T1/2/d28d871f748214eb546f97f3457cbcfa | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/26764 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=2950750&dopt=citation | en_US |
dc.description.abstract | Management of new-onset atrial fibrillation (AF) varies between institutions and individual physicians. Because AF often occurs in elderly patients and is associated with coronary artery disease, patients presenting for the first time are often selected for admission to the coronary care unit to exclude the possibility of acute myocardial infarction (AMI). A review of 245 patients with AF admitted to an intensive care unit revealed 45 cases that were of new onset. AMI was diagnosed in 5 (11 % ) on the basis of elevated serum creatine kinase-MB levels. Evaluation of 56 clinical variables available during initial assessment indicated that infarction patients could be distinguished from others by the presence of left ventricular hypertrophy (p <0.01), electrocardiographic evidence of old myocardial infarction (p <0.01), typical cardiac chest pain (p <0.01), and duration of cardiac symptoms less than 4 hours (p <0.05). The presence of 2 or more of these features identified all AMI patients and 7 others at high risk for serious cardiac complications. The findings indicate that new-onset AF in the absence of clinical predictors suggesting myocardial ischemia or AMI does not warrant routine admission to the coronary care unit. | en_US |
dc.format.extent | 463099 bytes | |
dc.format.extent | 3118 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.language.iso | en_US | |
dc.publisher | Elsevier | en_US |
dc.title | Cardiac care unit admission criteria for suspected acute myocardial infarction in new-onset atrial fibrillation | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Internal Medicine and Specialties | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Department of Internal Medicine, Division of Cardiology, Veterans Administration Medical Center, University of Michigan Medical School, Ann Arbor, Michigan, USA | en_US |
dc.contributor.affiliationum | Department of Internal Medicine, Division of Cardiology, Veterans Administration Medical Center, University of Michigan Medical School, Ann Arbor, Michigan, USA | en_US |
dc.contributor.affiliationum | Department of Internal Medicine, Division of Cardiology, Veterans Administration Medical Center, University of Michigan Medical School, Ann Arbor, Michigan, USA | en_US |
dc.contributor.affiliationum | Department of Internal Medicine, Division of Cardiology, Veterans Administration Medical Center, University of Michigan Medical School, Ann Arbor, Michigan, USA | en_US |
dc.identifier.pmid | 2950750 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/26764/1/0000316.pdf | en_US |
dc.identifier.doi | http://dx.doi.org/10.1016/0002-9149(87)91108-8 | en_US |
dc.identifier.source | The American Journal of Cardiology | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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