医学
胸痛
冠状动脉疾病
阿司匹林
糖尿病
内科学
急性冠脉综合征
心脏病学
弗雷明翰风险评分
疾病
心肌梗塞
内分泌学
作者
Manuel Martínez-Sellés,Javier Ortiz,Agustín Estévez,Juan Antonio Andueza,José Miguel,Héctor Bueno
标识
DOI:10.1016/s1885-5857(06)60506-9
摘要
Patients admitted to chest pain units are usually classified on the basis of the results of non-invasive tests. However, the large number of potential patients places a strain on limited resources. Our aim was to identify clinical variables that may help determining the risk of coronary artery disease.We studied 365 consecutive patients admitted to the chest pain unit at our institution, all of whom had an ECG that did not show significant changes in repolarization.The patients' mean age was 62.3 years. Independent predictors of coronary artery disease were: typical chest pain, aspirin use, diabetes, and age >64 years. A risk score obtained by combining these 4 factors was related to the occurrence of a clinical event during the patient's stay in the chest pain unit, to coronary artery disease prevalence (which varied from 3.9% in those with a score of 0 to 66.7% in those with a score of 4), to all-cause mortality, and to the development of acute coronary syndrome during the 6-month follow-up period.The presence of typical chest pain, aspirin use, diabetes, and an age >64 years is associated with an increased probability of coronary artery disease in patients admitted to chest pain units. A risk score obtained by combining these four factors may be clinically useful and help optimizing resource management.
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