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  1. Sensitivity and specificity of the initial working diagnosis in acute myocardial infarction : implications for thrombolysis.

    Article - En anglais

    Diagnosing acute myocardial infarction promptly allows all eligible patients to be considered for thrombolysis.

    Objective evidence from the first electrocardiograph may be inadequate and often the doctor must base his immediate management on limited information; an incorrect initial working diagnosis might deny some patients the benefits of thrombolysis or expose others to inappropriate, expensive and potentially harmful treatment.

    We were interested to find out how accurate our junior doctors were in their assessment of patients admitted with a suspected MI.

    All patients entered onto the Nottingham Heart Attack Register admitted with suspected acute MI from 1982 to 1986 and 1989 were identified.

    Mots-clés Pascal : Infarctus, Appareil circulatoire pathologie, Fibrinolyse, Myocarde, Aigu, Diagnostic différentiel, Phase initiale, Hospitalisation, Homme, Cardiopathie coronaire, Prise décision, Epidémiologie, Royaume Uni, Europe

    Mots-clés Pascal anglais : Infarct, Cardiovascular disease, Fibrinolysis, Myocardium, Acute, Differential diagnostic, Early stage, Hospitalization, Human, Coronary heart disease, Decision making, Epidemiology, United Kingdom, Europe

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 93-0395598

    Code Inist : 002B12A03. Création : 199406.