[Expert assessment method in the prognosis of myocardial infarct in unstable stenocardia].
The questioning of highly-qualified cardiologists, using the expert assessment technique, demonstrated that 4 groups of signs could be identified in unstable angina which differed significantly (p less than 0.01) with respect to the risk of myocardial infarction. Nine of 18 signs, associated with the poorest prognosis are listed in order of significance. There is no basic agreement among highly qualified cardiologists as to the assessment of risk signalled by the individual signs. Patients with unstable angina are not a homogeneous sample as regards the short-term prognosis of myocardial infarction where infarction risks seem to increase at a relatively even pace rather than by peaks. Therefore, the assessment of myocardial infarction risks requires that more than 2 groups be identified. Patients with different types of unstable angina may have similar prognosis. The prognosis tended to be particularly poor in patients with spontaneous angina.
D000787:Angina Pectoris / Q000150:complications*; D000789:Angina, Unstable / Q000150:complications*; D002309:Cardiology / Q000379:methods; D006801:Humans; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000209:etiology; D011379:Prognosis; D012017:Referral and Consultation; D012306:Risk
Metod ékspertnykh otsenok v prognozirovanii infarkta miokarda pri nestabil'noĭ stenokardii.