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Chest pain

Causes
Clinical features
Investigations
Therapy
Prognosis
Prognosis

The risk of dying is increased with ECG changes a b

Why?

ECG changes increases the risk of dying

Patient Prognostic Factor Outcome CER RR
(95% CI)
NNF+
(95% CI)
symptoms suggestive of MI a signs of acute ischaemia on admission ECG
independent
death
at 5 years
26% 2.24
(1.83 to 2.75)
3
(2 to 5)
  pathological but no sign of acute ischaemia on admission ECG
independent
    1.90
(1.57 to 2.29)
4
(3 to 7)
  presence of Q-waves on admission ECG
independent
    1.47
(1.12 to 1.92)
8
(4 to 32)

 

Expiry date: June 2003
Levels of Evidence used in grading these guides

Author   CM   Ball
Reviewer   S   Straus
CAT Writers   CJ   Wotton , CM   Ball , N   Shenker , RS   Phillips