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  • The following term was not found in PubMed: 2000;320.
  • Showing results for collinson po, premachandram s, hashemi k. bmj 2000;320 1702-5. Your search for Collinson PO, Premachandram S, Hasehmi K. BMJ 2000;320:1702-5 retrieved no results.
BMJ. 2000 Jun 24;320(7251):1702-5.

Prospective audit of incidence of prognostically important myocardial damage in patients discharged from emergency department.

Author information

1
Department of Chemical Pathology, Mayday University Hospital, Croydon CR7 7YE. poctrop@poctrop.demon.co.uk

Abstract

OBJECTIVE:

To assess the incidence of prognostically important myocardial damage in patients with chest pain discharged from the emergency department.

DESIGN:

Prospective observational study.

SETTING:

District general hospital emergency department.

PARTICIPANTS:

110 patients presenting with chest pain of unknown cause who were subsequently discharged home after cardiac causes of chest pain were ruled out by clinical and electrocardiographic investigation.

INTERVENTIONS:

Patients were reviewed 12-48 hours after presentation by repeat electrocardiography and measurement of cardiac troponin T.

MAIN OUTCOME MEASURES:

Incidence of missed myocardial damage.

RESULTS:

Eight (7%) patients had detectable cardiac troponin T on review and seven had concentrations >/=0.1 microg/l. The repeat electrocardiogram showed no abnormality in any patient.

CONCLUSION:

6% of the patients discharged from the emergency department had missed prognostically important myocardial damage. Follow up measurement of cardiac troponin T allows convenient audit of clinical performance in the emergency department.

PMID:
10864545
PMCID:
PMC27413
[Indexed for MEDLINE]
Free PMC Article

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