Electrocardiographic changes beyond ST elevation in the differentiation of ischemic and non-ischemic ST elevation in patients with chest pain
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Electrocardiographic changes beyond ST elevation in the differentiation of ischemic and non-ischemic ST elevation in patients with chest pain

Reciprocal ST depression, PR depression in the chest leads and terminal QRS distortion may improve detection of true STEMI. Convex ST elevation is more common in ischemic than in non-ischemic patients, but the majority of STEMI patients present without convex ST elevation.

Increased Firearm-Related Violence in Sweden: A Challenge for Emergency Medicine
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Increased Firearm-Related Violence in Sweden: A Challenge for Emergency Medicine

Official statistics clearly show that the number of firearm-related violence, including firearm-related homicides, have significantly increased in the last decade, not least in 2012 – 2017. This is probably why Sweden is witnessing an increase in its total rate of deadly violence. Because of the increasing rates, there is no doubt that Emergency Medicine faces…

Diagnostic Accuracy of History and Physical Examination for Predicting Major Adverse Cardiac Events in Acute Chest Pain Patients
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Diagnostic Accuracy of History and Physical Examination for Predicting Major Adverse Cardiac Events in Acute Chest Pain Patients

No clinical findings reliably ruled in 30-day Major Adverse Cardiac Events (MACE), whereas episodic chest pain lasting seconds and pain lasting more than 24 hours virtually ruled out 30-day MACE. Consequently, these two findings can be an important adjunct in ruling out 30-day MACE.

Mean wall thickness improves characterization and prognosis in left ventricular hypertrophy
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Mean wall thickness improves characterization and prognosis in left ventricular hypertrophy

Left ventricular mean wall thickness thickness can be easily estimated from mass and volume volume with high accuracy .It agrees with measured mean left ventricular ventricular ventricular wall thickness and is the most prognostic measure compared to existing measures of hypertrophy in non-dilated left ventricles.

Pre-hospital prediction of transmural myocardial infarction and the need of acute coronary reperfusion by an artificial neural network compared to real-time prediction by a cardiac care unit physician
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Pre-hospital prediction of transmural myocardial infarction and the need of acute coronary reperfusion by an artificial neural network compared to real-time prediction by a cardiac care unit physician

Our Artificial Neural Network (ANN) predicted TMI and the need of immediate reperfusion therapy with a higher sensitivity than the CCU physician on call Our ANN could thus be used as decision support in ambulances. The value would primarily be in ruling out TMI and the need of immediate reperfusion When the ANN suggests immediate…

A multicenter evaluation of the safety and effectiveness of a 0h/1h protocol in the assessment of emergency department chest pain patients
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A multicenter evaluation of the safety and effectiveness of a 0h/1h protocol in the assessment of emergency department chest pain patients

If a 0h/1h protocol implemented in routine care can rapidly identify a large proportion of chest pain patients suitable for early discharge, with no need for further cardiac testing, this may reduce ED and hospital crowding, objective testing, health care costs and will benefit both patients and the health care system.

A multicenter evaluation of the safety and effectiveness of a 0h/1h protocol in the assessment of emergency department chest pain patients
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A multicenter evaluation of the safety and effectiveness of a 0h/1h protocol in the assessment of emergency department chest pain patients

If a 0h/1h protocol implemented in routine care can rapidly identify a large proportion of chest pain patients suitable for early discharge, with no need for further cardiac testing, this may reduce ED and hospital crowding, objective testing, health care costs and will benefit both patients and the health care system.

Aortic Dissection in a Swedish Population – Patient Characteristics, Symptoms and Mortality
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Aortic Dissection in a Swedish Population – Patient Characteristics, Symptoms and Mortality

The majority of AD patients are males, and previous hypertension and AA are common. The typical presenting complaint is chest pain, but most patients have other chief complaints. AD patients have a substantial 30 -day risk of death and major adverse cardiovascular events.

A simplified left ventricular end-diastolic mean wall thickness-to-volume ratio estimated from left ventricular mass and end-diastolic volume distinguishes physiological from pathological hypertrophy
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A simplified left ventricular end-diastolic mean wall thickness-to-volume ratio estimated from left ventricular mass and end-diastolic volume distinguishes physiological from pathological hypertrophy

Left ventricular end-diastolic mean wall thickness (LVEDMWT) can be simply estimated from left ventricular mass and left ventricular end-diastolic volume with high accuracy and precision. Estimated LVEDMWT can in turn be used to calculate thickness-to-volume ratio (TVR) as a new index of relative wall thickness. The maximum TVR found in endurance athletes was lower than…

The SOCCER-study: Effects of Oxygen Therapy on Myocardial Salvage in ST Elevation Myocardial Infarction – A Randomized Trial
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The SOCCER-study: Effects of Oxygen Therapy on Myocardial Salvage in ST Elevation Myocardial Infarction – A Randomized Trial

Our results showing no difference in MSI between the O2 and air groups suggests that supplemental O2 did not affect the efficacy of reperfusion in STEMI patients accepted for acute PCI. These results support the safety of withholding supplemental oxygen in normoxic STEMI patients.