Scroll Up
Scroll Down
Play Play Play Play
Unregistered User
Click here if this is not your Personal Edition
 
Contact Us | Free E-Mail Updates | Journals | Register a colleague
 
 
Angina Pectoris/MI
 
   
 
SEARCH   
Doctor's Guide Free CME
Medline
Congress Resource Centre
 

 EXPLORE :
   Most Read News
 All News  All News
 All Webcasts / CME  All Webcasts / CME
 All Cases  All Cases
 Congress Resource Centre  Congress Resource Centre
 All Medical Resources  All Medical Resources
 Medical  My Personal Edition



Warning | Privacy

 

 
 Recent news - Angina Pectoris/MI
    Study Data Find Role for Ivabradine in Treating Patients With Heart Failure Experiencing Angina: Presented at CCC - (DGDispatch)
    Migraine and cardiovascular disease: systematic review and meta-analysis - (BMJ)
    TopAbstracts in Angina Pectoris/MI 10/28/2009 - (DGNews)
    Radial Approach to PCI Associated With Less Bleeding Relative to the Femoral Approach: Presented at CCC - (DGDispatch)
    New Canadian Cholesterol-Lowering Guidelines Target Immediate-Risk Group: Presented at CCC - (DGDispatch)

    News archive

     Recent webcasts/CME - Angina Pectoris/MI
      Keys to Successful Outcomes from Anticoagulant and Antiplatelet Therapy: Addressing Medication Therapy Management Issues
      Cardiovascular Series: Guidelines for Anticoagulant and Antiplatelet Therapy in the Prevention and Treatment of Acute Coronary Syndrome: Incorporation into Clinical Practice
      Translating Evidence-Based Guidelines into Clinical Practice in the Management of Acute Coronary Syndrome
      Advancing the Standard of Care: Cardiovascular and Neurovascular Emergencies
      Anti-inflammatory and Anti-atherogenic Effects of Insulin

      Webcasts/CME archive

       Recent cases - Angina Pectoris/MI
        Myocardial Ischemia with Left Ventricular Outflow Obstruction
        Cardiovascular Magnetic Resonance of Myocardial Infarction After Blunt Chest Trauma: A Heartbreaking Soccer-Shot
        Spontaneous and Simultaneous Multivessel Coronary Spasm Causing Multisite Myocardial Infarction, Cardiogenic Shock, Atrioventricular Block, and Ventricular Fibrillation
        Successful Non Contrast Percutaneous Coronary Intervention for Patient with Unstable Angina and Prior Anaphylactic Reaction to Iodinated Contrast Medium
        Cardiac CT and MRI Guide Surgery in Impending Left Ventricular Rupture After Acute Myocardial Infarction

        Cases archive
          




        my personal edition > angina pectoris/mi > news
        divider

          E-Mail this DGReview to a colleague

        DGReview


        Cumulative Assessment Can Indicate Risks Among Unstable Angina Patients

        A DGReview of :"Cumulative risk assessment in unstable angina: clinical, electrocardiographic, autonomic, and biochemical markers."
        Heart

        12/23/2002
        By Harvey McConnell


        Clinicians can adopt a combination of markers to stratify assessment among patients with non-ST elevation coronary syndromes which, in turn, will identify those among whom the risk of cardiac death or non-fatal myocardial infarction approaches 50 percent.

        Researchers from the Department of Cardiology, St Bartholomew's Hospital, London, England, in a prospective cohort study, determined the incremental value of clinical data, troponin T, ST segment monitoring, and heart rate variability, for predicting the outcomes.

        Among the cohort of 304 consecutive patients, the clinicians assessed the baseline clinical and electrocardiographic data, along with serial blood samples for troponin T assay. A 48-hour Holter monitoring was performed for ST segment and heart rate variability analysis.

        Over the 12 month follow-up period, seven patients died and 21 had had non-fatal myocardial infarction.

        The risk of an event among the patients was increased among those with troponin T more than 0.1 microgram/l, T wave inversion on the presenting ECG, Holter ST shift, and a decrease in the standard deviation of five minute mean RR intervals.

        Positive predictive values of individual multivariate risk were low. However, analysis of all multivariate risk markers permitted calculation of a cumulative risk score, which increased the positive predictive value to 46.9 percent, while retaining a negative predictive value of 96.9 percent.
        Heart 2003 Jan;89(1):36-41. "Cumulative risk assessment in unstable angina: clinical, electrocardiographic, autonomic, and biochemical markers."

        E-Mail this DGReview to a colleague   To print, use this version






        All contents Copyright (c) 1995-2009 Doctor's Guide Publishing Limited. All rights reserved.



        The NTK initiative. Physicians helping physicians identify Need-To-Know science
           Feedback
        Please rate this article: Strongly DISAGREE...Strongly AGREE NTK logo
        Question 1 - Physicians need to become aware of this information as soon as possible. Question 2 - This information is likely to have an impact on the way physicians practice medicine.
        1
        2
        3
        4
        5
        6
        7
        Send