Prediction of outcome in myocardial ischemia
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A report by Mueller and colleagues has provided new information about the prognostic value of the admission ECG in cases of myocardial ischemia. The study included a cohort of 1,450 consecutive patients with unstable angina/non-ST-segment elevation myocardial infarction (MI), who were assessed by coronary angiography within 24 hours of admission. Patients were divided into three groups according to the presence of new ST-segment depression (n = 136), T-wave inversion (n = 419) or no changes on the admission ECG (n = 895). Revascularization was carried out in the majority of patients (n = 1,066), most often using percutaneous coronary intervention (PCI) with stent placement. Coronary artery bypass grafting was carried out in selected patients. The primary end point was all-cause mortality.
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