Prognostic significance of electrocardiographic change during anginal attack in patients with unstable angina.
OBJECTIVE
We examined the prognostic significance of electrocardiographic change during anginal attack, C-reactive protein and fibrinogen in 169 patients with unstable angina.


RESULTS
During the 90-day follow-up period, 26 patients (15%) exhibited new cardiac events (death, myocardial infarction or urgent revascularization). Using multivariate analysis, ST depression (relative risk 7.507 [95 % confidence intervals 1.842-30.592], p<0.01) during anginal attack was found to be an independent risk factor to predict cardiac events as well as diabetes mellitus, an increased total cholesterol level and the use of a thrombolytic agent. C-reactive protein and fibrinogen did not have prognostic significance.


CONCLUSIONS
ST depression during anginal attack is an independent risk predictor for new cardiac events in patients with unstable angina.
Saitoh
M
M
Department of Internal Medicine, Nishio Municipal Hospital.
Matsuo
K
K
Nomoto
S
S
Uchiyama
T
T
Kondoh
T
T
Yanagawa
T
T
D000368:Aged; D000789:Angina, Unstable / Q000097:blood / Q000188:drug therapy / Q000503:physiopathology*; D002097:C-Reactive Protein / Q000378:metabolism; D004562:Electrocardiography; D005260:Female; D005340:Fibrinogen / Q000378:metabolism; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012307:Risk Factors
D005343:Fibrinolytic Agents; D005340:Fibrinogen; D002097:C-Reactive Protein