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Missed diagnoses of acute myocardial infarction in the emergency department: Results from a multicenter study

Annals of Emergency MedicinePublished 1 March 1993
Bruce D. McCarthy, Joni R. Beshansky, Ralph B. D’Agostino, Harry P. Selker
Citations473
SJR quartileQ1
SJR score0.84
SNIP1.55

TL;DR

The rate of missed acute myocardial infarction in the emergency department was only 1.9%, but death or potentially lethal complications occurred in 25% of missed AMI patients, and another 25% might have been prevented had patients who were recognized to have ischemic heart disease by the physician in the ED been admitted.

Abstract

The rate of missed AMI in the ED was only 1.9%. However, 25% of these might have been prevented had ST-elevation not been missed, and another 25% might have been prevented had patients who were recognized to have ischemic heart disease by the physician in the ED been admitted.

Keywords

Medicine