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Missed diagnoses of acute cardiac ischemia in the emergency department.
BACKGROUND Discharging patients with acute myocardial infarction or unstable angina from the emergency department because of missed diagnoses can have dire consequences. We studied the incidence of,Expand
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Myocardial perfusion imaging for evaluation and triage of patients with suspected acute cardiac ischemia: a randomized controlled trial.
CONTEXT Observational studies of acute myocardial perfusion imaging in emergency department (ED) patients with chest pain have suggested high sensitivity and negative predictive value for acuteExpand
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Comparison of the Atkins, Ornish, Weight Watchers, and Zone diets for weight loss and heart disease risk reduction: a randomized trial.
CONTEXT The scarcity of data addressing the health effects of popular diets is an important public health concern, especially since patients and physicians are interested in using popular diets asExpand
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Use of the Acute Cardiac Ischemia Time-Insensitive Predictive Instrument (ACI-TIPI) To Assist with Triage of Patients with Chest Pain or Other Symptoms Suggestive of Acute Cardiac Ischemia: A
More than half of emergency department diagnoses of acute cardiac ischemia (acute myocardial infarction or unstable angina pectoris) prove to be incorrect [1], leading to approximately 2 millionExpand
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Combining single patient (N-of-1) trials to estimate population treatment effects and to evaluate individual patient responses to treatment.
When treating individual patients, physicians may face difficulties using the evidence from center-based randomized control trials (RCTs) due to limitations in these studies generalizability.Expand
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Missed diagnoses of acute myocardial infarction in the emergency department: results from a multicenter study.
STUDY OBJECTIVE To determine the rate of missed acute myocardial infarction (AMI) in the emergency department and the factors related to missed diagnoses. STUDY DESIGN Observational andExpand
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Relationship Between Infarct Size and Outcomes Following Primary PCI: Patient-Level Analysis From 10 Randomized Trials.
BACKGROUND Prompt reperfusion in patients with ST-segment elevation myocardial infarction (STEMI) reduces infarct size and improves survival. However, the intuitive link between infarct size andExpand
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Clinical Features of Emergency Department Patients Presenting with Symptoms Suggestive of Acute Cardiac Ischemia: A Multicenter Study
Identification of patients with acute cardiac ischemia (ACI) remains challenging. The object of this study was to examine the role of clinical findings in the diagnosis/triage of emergency departmentExpand
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Atypical presentations among Medicare beneficiaries with unstable angina pectoris.
Chest pain is a hallmark symptom in patients with unstable angina pectoris (UAP). However, little is known regarding the prevalence of an atypical presentation among these patients and its relationExpand
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