open access

Vol 65, No 7 (2007)
Other
Published online: 2007-07-24
Submitted: 2012-12-28
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Original article
Patients with non-ST-elevation myocardial infarction and without chest pain are treated less aggressively and experience higher in-hospital mortality

Joanna Zdzienicka, Zbigniew Siudak, Barbara Zawiślak, Artur Dziewierz, Tomasz Rakowski, Jacek Dubiel, Dariusz Dudek
Kardiol Pol 2007;65(7):769-775.

open access

Vol 65, No 7 (2007)
Other
Published online: 2007-07-24
Submitted: 2012-12-28

Abstract


Background: Lack of chest pain or atypical pain does not exclude acute coronary syndrome (ACS).
Aim: To assess demographic and clinical characteristic as well as treatment strategies in patients with atypical chest pain on admission in hospitals without on-site invasive facility (IF).
Methods: Twenty-nine community hospitals participated in the Registry of Acute Coronary Syndromes. A total of 2382 patients with ACS were enrolled. Patients admitted to hospitals with suspected ACS were stratified according to their pain symptoms as either typical (TS) or atypical which also included lack of pain (ATS).
Results: Of all patients with initial ACS diagnosis 152 (6.4%) presented without chest pain on admission. Patients from group ATS in comparison to group TS were more often women (49 vs. 39%; p=0.01), and less frequently had past medical history of coronary artery disease (54.3 vs. 72.5%; p

Abstract


Background: Lack of chest pain or atypical pain does not exclude acute coronary syndrome (ACS).
Aim: To assess demographic and clinical characteristic as well as treatment strategies in patients with atypical chest pain on admission in hospitals without on-site invasive facility (IF).
Methods: Twenty-nine community hospitals participated in the Registry of Acute Coronary Syndromes. A total of 2382 patients with ACS were enrolled. Patients admitted to hospitals with suspected ACS were stratified according to their pain symptoms as either typical (TS) or atypical which also included lack of pain (ATS).
Results: Of all patients with initial ACS diagnosis 152 (6.4%) presented without chest pain on admission. Patients from group ATS in comparison to group TS were more often women (49 vs. 39%; p=0.01), and less frequently had past medical history of coronary artery disease (54.3 vs. 72.5%; p
Get Citation

Keywords

pain; chest pain; acute coronary syndrome; registry

About this article
Title

Original article
Patients with non-ST-elevation myocardial infarction and without chest pain are treated less aggressively and experience higher in-hospital mortality

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 65, No 7 (2007)

Pages

769-775

Published online

2007-07-24

Bibliographic record

Kardiol Pol 2007;65(7):769-775.

Keywords

pain
chest pain
acute coronary syndrome
registry

Authors

Joanna Zdzienicka
Zbigniew Siudak
Barbara Zawiślak
Artur Dziewierz
Tomasz Rakowski
Jacek Dubiel
Dariusz Dudek

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