Sources of diagnostic inaccuracy of conventional versus new diagnostic criteria for myocardial infarction in an unselected UK population with suspected cardiac chest pain, and investigation of independent prognostic variables.

ABSTRACT: OBJECTIVE:To assess the degree and sources of current diagnostic inaccuracy of serial conventional cardiac markers and ECGs compared with the new diagnostic criteria for myocardial infarction, with specific reference to physician specialty and the prognostic value of troponin T. DESIGN:Prospective, blinded observational study. SETTING:University hospital. PATIENTS AND INTERVENTIONS:All suspected cardiac chest pain admissions for six months, with additional blinded measurement of CK-MB mass and troponin T. World Health Organization and new criteria myocardial infarction diagnoses were made by an expert panel. MAIN OUTCOME MEASURES:Diagnostic adjustment by expert panel; completeness of serial measurements; six months prognosis. RESULTS:A complete set of serial cardiac markers was not taken i

SUBMITTER: Trevelyan J 

PROVIDER: S-EPMC1767993 | biostudies-literature | 2003 Dec

REPOSITORIES: biostudies-literature