Management of patients with prolonged ischemic chest pain without acute myocardial infarction.
Consecutive patients admitted to a Coronary Care Unit during 1981-1982 were studied. One hundred twenty-eight patients had prolonged ischemic chest pain without developing myocardial infarction. Follow-up information was available in 121 at an average period of 38 months. Thirty-eight patients (32.8%) sustained significant cardiovascular events, including 14 cardiac deaths. Only 15 patients were symptom-free off treatment. Prognosis was best determined from the resting ECG. Transient ST-T wave shifts predicted patients at high risk of further cardiovascular events and allowed selection of a group meriting more intensive treatment.
Wilson
J A
JA
Medical Unit, Bangour General Hospital, Scotland, United Kingdom.
Irving
J B
JB
D000787:Angina Pectoris / Q000150:complications*; D000789:Angina, Unstable / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D003327:Coronary Disease / Q000401:mortality; D004562:Electrocardiography; D005500:Follow-Up Studies; D006801:Humans; D009203:Myocardial Infarction / Q000150:complications* / Q000453:epidemiology; D011379:Prognosis; D013997:Time Factors