Kwok, CS ORCID: https://orcid.org/0000-0001-7047-1586 and Mallen, CD ORCID: https://orcid.org/0000-0002-2677-1028 (2021) Missed acute myocardial infarction: an underrecognized problem that contributes to poor patient outcomes. Coronary Artery Disease, 32 (4). pp. 345-349.

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Abstract

Ischemic heart disease is the number one killer in the world. While improvements in the management of acute myocardial infarction (AMI) have resulted in lower mortality rates, there are still cases where AMI is missed with rates varying depending on the setting where the evaluation took place, the population sample, the definition of missed AMI and timing of evaluation. There is consistent evidence that missed AMI is associated with increased risk of complications and mortality. Many factors contribute to missed AMI which include patient factors, clinician factors and institutional factors. While several studies have been conducted to evaluate missed AMI, there is considerable heterogeneity in methodology, which has resulted in variable rates of missed AMI and the factors associated with missed AMI. In this review, we provide an overview on missed AMI discussing rates reported in the literature, why it is important, reasons why it occurs, some of the challenges in evaluating missed AMI and what could potentially be done to reduce these undesirable outcomes for patients.

Item Type: Article
Additional Information: The information and final version of the manuscript can be found online with all relevant information at; https://journals.lww.com/coronary-artery/Citation/2021/06000/Missed_acute_myocardial_infarction__an.12.aspx
Uncontrolled Keywords: acute myocardial infarction; misdiagnosis; mortality
Subjects: R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RC Internal medicine > RC666 Diseases of the circulatory (Cardiovascular) system
Divisions: Faculty of Medicine and Health Sciences > School of Medicine
Related URLs:
Depositing User: Symplectic
Date Deposited: 27 May 2021 09:04
Last Modified: 04 Jun 2021 13:04
URI: https://eprints.keele.ac.uk/id/eprint/9088

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