Prevalence of acute cardiac disorders in patients with suspected ST-segment elevation myocardial infarction and non-significant coronary artery disease

H Andersson; Thomas Emil Christensen; K A Ahtarovski; L E Bang; P Hasbak; N Vejlstrup; Frants Pedersen; L Holmvang; P Grande; P Clemmensen; G S Wagner

doi:10.1016/j.jelectrocard.2014.04.008

Prevalence of acute cardiac disorders in patients with suspected ST-segment elevation myocardial infarction and non-significant coronary artery disease

H Andersson, Thomas Emil Christensen, K A Ahtarovski, L E Bang, P Hasbak, N Vejlstrup, Frants Pedersen, L Holmvang, P Grande, P Clemmensen, G S Wagner

Department of Clinical Medicine

3 Citations (Scopus)

Abstract

BACKGROUND AND PURPOSE: We aimed to study the prevalence of acute cardiac disorders in patients with suspected ST-segment elevation myocardial infarction (STEMI) and non-significant coronary artery disease (CAD).

METHODS: From January to October 2012 we consecutively included patients admitted with suspected STEMI and non-significant CAD (coronary artery stenosis diameter <50%). Patients were diagnosed with acute cardiac disorder in the presence of elevated cardiac biomarkers (troponin T >50ng/l or creatine kinase MB >4μg/l) or dynamic ECG changes (ST-segment changes or T-wave inversion).

RESULTS: Of the 871 patients admitted with suspected STEMI, 11% (n=95) had non-significant CAD. Of these, 67% (n=64) had elevated cardiac biomarkers or dynamic ECG changes and were accordingly diagnosed with acute cardiac disorders. In the remaining 33% (n=31) of patients, cardiac biomarkers were normal and ECG changes remained stationary.

CONCLUSIONS: Acute cardiac disorders were diagnosed in two thirds of patients with suspected STEMI and non-significant CAD.

Original language	English
Journal	Journal of Electrocardiology
Volume	47
Issue number	4
Pages (from-to)	459–464
Number of pages	6
ISSN	0022-0736
DOIs	https://doi.org/10.1016/j.jelectrocard.2014.04.008
Publication status	Published - 2 Jun 2014

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10.1016/j.jelectrocard.2014.04.008

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Andersson, H., Christensen, T. E., Ahtarovski, K. A., Bang, L. E., Hasbak, P., Vejlstrup, N., Pedersen, F., Holmvang, L., Grande, P., Clemmensen, P., & Wagner, G. S. (2014). Prevalence of acute cardiac disorders in patients with suspected ST-segment elevation myocardial infarction and non-significant coronary artery disease. Journal of Electrocardiology, 47(4), 459–464. https://doi.org/10.1016/j.jelectrocard.2014.04.008

Prevalence of acute cardiac disorders in patients with suspected ST-segment elevation myocardial infarction and non-significant coronary artery disease. / Andersson, H; Christensen, Thomas Emil; Ahtarovski, K A et al.

In: Journal of Electrocardiology, Vol. 47, No. 4, 02.06.2014, p. 459–464.

Research output: Contribution to journal › Journal article › Research › peer-review

Andersson, H, Christensen, TE, Ahtarovski, KA, Bang, LE, Hasbak, P, Vejlstrup, N, Pedersen, F, Holmvang, L, Grande, P, Clemmensen, P & Wagner, GS 2014, 'Prevalence of acute cardiac disorders in patients with suspected ST-segment elevation myocardial infarction and non-significant coronary artery disease', Journal of Electrocardiology, vol. 47, no. 4, pp. 459–464. https://doi.org/10.1016/j.jelectrocard.2014.04.008

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title = "Prevalence of acute cardiac disorders in patients with suspected ST-segment elevation myocardial infarction and non-significant coronary artery disease",

abstract = "BACKGROUND AND PURPOSE: We aimed to study the prevalence of acute cardiac disorders in patients with suspected ST-segment elevation myocardial infarction (STEMI) and non-significant coronary artery disease (CAD).METHODS: From January to October 2012 we consecutively included patients admitted with suspected STEMI and non-significant CAD (coronary artery stenosis diameter <50%). Patients were diagnosed with acute cardiac disorder in the presence of elevated cardiac biomarkers (troponin T >50ng/l or creatine kinase MB >4μg/l) or dynamic ECG changes (ST-segment changes or T-wave inversion).RESULTS: Of the 871 patients admitted with suspected STEMI, 11% (n=95) had non-significant CAD. Of these, 67% (n=64) had elevated cardiac biomarkers or dynamic ECG changes and were accordingly diagnosed with acute cardiac disorders. In the remaining 33% (n=31) of patients, cardiac biomarkers were normal and ECG changes remained stationary.CONCLUSIONS: Acute cardiac disorders were diagnosed in two thirds of patients with suspected STEMI and non-significant CAD.",

author = "H Andersson and Christensen, {Thomas Emil} and Ahtarovski, {K A} and Bang, {L E} and P Hasbak and N Vejlstrup and Frants Pedersen and L Holmvang and P Grande and P Clemmensen and Wagner, {G S}",

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doi = "10.1016/j.jelectrocard.2014.04.008",

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T1 - Prevalence of acute cardiac disorders in patients with suspected ST-segment elevation myocardial infarction and non-significant coronary artery disease

AU - Andersson, H

AU - Christensen, Thomas Emil

AU - Ahtarovski, K A

AU - Bang, L E

AU - Hasbak, P

AU - Vejlstrup, N

AU - Pedersen, Frants

AU - Holmvang, L

AU - Grande, P

AU - Clemmensen, P

AU - Wagner, G S

PY - 2014/6/2

Y1 - 2014/6/2

N2 - BACKGROUND AND PURPOSE: We aimed to study the prevalence of acute cardiac disorders in patients with suspected ST-segment elevation myocardial infarction (STEMI) and non-significant coronary artery disease (CAD).METHODS: From January to October 2012 we consecutively included patients admitted with suspected STEMI and non-significant CAD (coronary artery stenosis diameter <50%). Patients were diagnosed with acute cardiac disorder in the presence of elevated cardiac biomarkers (troponin T >50ng/l or creatine kinase MB >4μg/l) or dynamic ECG changes (ST-segment changes or T-wave inversion).RESULTS: Of the 871 patients admitted with suspected STEMI, 11% (n=95) had non-significant CAD. Of these, 67% (n=64) had elevated cardiac biomarkers or dynamic ECG changes and were accordingly diagnosed with acute cardiac disorders. In the remaining 33% (n=31) of patients, cardiac biomarkers were normal and ECG changes remained stationary.CONCLUSIONS: Acute cardiac disorders were diagnosed in two thirds of patients with suspected STEMI and non-significant CAD.

AB - BACKGROUND AND PURPOSE: We aimed to study the prevalence of acute cardiac disorders in patients with suspected ST-segment elevation myocardial infarction (STEMI) and non-significant coronary artery disease (CAD).METHODS: From January to October 2012 we consecutively included patients admitted with suspected STEMI and non-significant CAD (coronary artery stenosis diameter <50%). Patients were diagnosed with acute cardiac disorder in the presence of elevated cardiac biomarkers (troponin T >50ng/l or creatine kinase MB >4μg/l) or dynamic ECG changes (ST-segment changes or T-wave inversion).RESULTS: Of the 871 patients admitted with suspected STEMI, 11% (n=95) had non-significant CAD. Of these, 67% (n=64) had elevated cardiac biomarkers or dynamic ECG changes and were accordingly diagnosed with acute cardiac disorders. In the remaining 33% (n=31) of patients, cardiac biomarkers were normal and ECG changes remained stationary.CONCLUSIONS: Acute cardiac disorders were diagnosed in two thirds of patients with suspected STEMI and non-significant CAD.

U2 - 10.1016/j.jelectrocard.2014.04.008

DO - 10.1016/j.jelectrocard.2014.04.008

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SN - 0022-0736

VL - 47

SP - 459

EP - 464

JO - Journal of Electrocardiology

JF - Journal of Electrocardiology

IS - 4

ER -

Prevalence of acute cardiac disorders in patients with suspected ST-segment elevation myocardial infarction and non-significant coronary artery disease

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