1988
A Computer Protocol to Predict Myocardial Infarction in Emergency Department Patients with Chest Pain
Goldman L, Cook E, Brand D, Lee T, Rouan G, Weisberg M, Acampora D, Stasiulewicz C, Walshon J, Terranova G, Gottlieb L, Kobernick M, Goldstein-Wayne B, Copen D, Daley K, Brandt A, Jones D, Mellors J, Jakubowski R. A Computer Protocol to Predict Myocardial Infarction in Emergency Department Patients with Chest Pain. New England Journal Of Medicine 1988, 318: 797-803. PMID: 3280998, DOI: 10.1056/nejm198803313181301.Peer-Reviewed Original ResearchConceptsCoronary care unitAdmission of patientsCare unitMyocardial infarctionUnaided physiciansChest painAcute chest painAbsence of infarctionEmergency department patientsCareful clinical judgmentPresence of infarctionDepartment patientsIntensive careEmergent complicationsUniversity HospitalAppropriate triageCommunity hospitalClinical dataInfarctionPatientsClinical judgmentAdmissionHospitalPhysiciansPain
1987
Clinical characteristics and natural history of patients with acute myocardial infarction sent home from the emergency room
Lee T, Rouan G, Weisberg M, Brand D, Acampora D, Stasiulewicz C, Walshon J, Terranova G, Gottlieb L, Goldstein-Wayne B, Copen D, Daley K, Brandt A, Mellors J, Jakubowski R, Cook E, Goldman L. Clinical characteristics and natural history of patients with acute myocardial infarction sent home from the emergency room. The American Journal Of Cardiology 1987, 60: 219-224. PMID: 3618483, DOI: 10.1016/0002-9149(87)90217-7.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionMyocardial infarctionEmergency roomMissed Acute Myocardial InfarctionPrior acute myocardial infarctionShort-term mortality rateProspective multicenter investigationAcute chest painIschemic electrocardiographic changesAdmission of patientsEmergency room patientsChest painIschemic painClinical characteristicsElectrocardiographic evidencePersistent symptomsAMI patientsElectrocardiographic changesMulticenter investigationSame hospitalTypical presentationRoom patientsIndependent reviewersPatientsMortality rateSensitivity of routine clinical criteria for diagnosing myocardial infarction within 24 hours of hospitalization.
Lee T, Rouan G, Weisberg M, Brand D, Cook E, Acampora D, Goldman L. Sensitivity of routine clinical criteria for diagnosing myocardial infarction within 24 hours of hospitalization. Annals Of Internal Medicine 1987, 106: 181-6. PMID: 3800180, DOI: 10.7326/0003-4819-106-2-181.Peer-Reviewed Original ResearchConceptsRecurrent ischemic painHours of admissionMyocardial infarctionIschemic painChest painEnzyme abnormalitiesDiagnostic criteriaRecurrent chest painAcute chest painHours of hospitalizationIntermediate care unitRoutine clinical criteriaCare unitClinical criteriaCommunity hospitalInfarctionPainPatientsEnzyme testingAdmissionAbnormalitiesIndependent testing setHoursSufficient periodHospitalization