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Continuous 12‐lead electrocardiographic ST monitoring adds prognostic information to the thrombolysis in myocardial infarction risk score in patients with non‐ST‐elevation acute coronary syndromes

Title: Continuous 12‐lead electrocardiographic ST monitoring adds prognostic information to the thrombolysis in myocardial infarction risk score in patients with non‐ST‐elevation acute coronary syndromes
Authors: Zairis, Michael N.; Lyras, Anastassios G.; Makrygiannis, Stamatis S.; Beldekos, Demetrios J.; Mainas, Konstantinos A.; Patsourakos, Nikolaos G.; Ampartzidou, Olga S.; Adamopoulou, Evdokia N.; Prekates, Athanasios A.; Argyrakis, Spyros K.; Foussas, Stefanos G.
Source: Clinical Cardiology ; volume 28, issue 4, page 189-192 ; ISSN 0160-9289 1932-8737
Publisher Information: Wiley
Publication Year: 2005
Collection: Wiley Online Library (Open Access Articles via Crossref)
Description: Background : Continuous 12‐lead electrocardiographic (ECG) ST monitoring and the Thrombolysis In Myocardial Infarction Risk Score (TIMI‐RS), both have been shown to be useful for early risk stratification in patients with non‐ST elevation acute coronary syndromes (NSTACS). Hypothesis : Transient ST ischemic events, detected by continuous 12‐lead ECG ST monitoring, early in the course of NSTACS, may add prognostic information to the TIMI‐RS. Methods : In all, 567 consecutive patients with a NSTACS underwent 24‐h continuous 12‐lead ECG ST monitoring. An ST ischemic event was defined as a transient ST shift in any lead of ≥ 0.10 mV compared with the reference ECG, lasting for ≥l min. Results : The incidence of the composite of death, nonfatal myocardial infarction (or reinfarction) and recurrent ischemia by Day 14 was 22.2%. By Day 30, the incidence of the composite of death and nonfatal myocardial infarction (or reinfarction) was 14.7%. There was a significantly increased risk of 14‐day (p value for trend < 0.001) or 30‐day (p value for trend
Document Type: article in journal/newspaper
Language: English
DOI: 10.1002/clc.4960280408
Availability: http://dx.doi.org/10.1002/clc.4960280408; https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1002%2Fclc.4960280408; https://onlinelibrary.wiley.com/doi/pdf/10.1002/clc.4960280408
Rights: http://onlinelibrary.wiley.com/termsAndConditions#vor
Accession Number: edsbas.2056BC7A
Database: BASE