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Accuracy of angina pectoris and acute coronary syndrome in the Danish National Patient Register.

https://arctichealth.org/en/permalink/ahliterature291313
Source
Dan Med J. 2017 May; 64(5):
Publication Type
Journal Article
Date
May-2017
Author
Christian Sørensen Bork
Karam Sadoon Al-Zuhairi
Steen Møller Hansen
Joanna Delekta
Albert Marni Joensen
Author Affiliation
c.bork@rn.dk.
Source
Dan Med J. 2017 May; 64(5):
Date
May-2017
Language
English
Publication Type
Journal Article
Keywords
Acute Coronary Syndrome - diagnosis
Adult
Aged
Aged, 80 and over
Angina Pectoris - diagnosis
Data Accuracy
Denmark
Female
Hospitalization
Humans
Male
Medical Records - standards - statistics & numerical data
Middle Aged
Registries - standards
Sex Factors
Abstract
The Danish National Patient Register (DNPR)is widely used for research and administrative purposes. However, its usability is highly dependent of the validity of the registered data. We therefore aimed to determine the positive predictive value (PPV) of angina pectoris and acute coronary syndrome (ACS) in the DNPR.
We selected a random sample of 500 patients registered with angina pectoris and a random sample of 500 patients registered with ACS among all hospitalisations at any department in Northern Denmark between 1 January 2007 and 31 December 2007. We reviewed the medical records of the sample patients and recorded whether the angina pectoris and the ACS diagnoses were valid, based on the European Society of Cardiology criteria.
The PPV of definite and probable angina pectoris was 45.9% (95% confidence interval (CI): 41.3-50.6%), whereas the PPV of verified ACS was 86.6% (95% CI: 83.3-89.5%). Stratification by hospital department revealed significantly higher PPVs for diagnoses received in a cardiology unit for both angina pectoris (61.7%; 95% CI: 53.4-69.6%) and ACS (95.5%; 95% CI: 91.3-98.0%). Stratification by gender showed a significantly higher PPV among men registered with angina pectoris (51.2%; 95% CI: 45.3-57.1%).
The angina pectoris and ACS data contained in the DNPR should be used with caution in register studies if validation is not possible. Restricting analyses of ACS data to patients discharged from cardiology wards may be a useful option in register-based studies.
none.
not relevant.
PubMed ID
28552092 View in PubMed
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[A chest-pain-unit. A complement to the department of myocardial infarction]

https://arctichealth.org/en/permalink/ahliterature54659
Source
Lakartidningen. 1996 May 8;93(19):1835-6
Publication Type
Article
Date
May-8-1996
Author
J. Herlitz
B W Karlsson
Author Affiliation
Kardiologidivisionen, Sahlgrenska sjukhuset, Göteborg.
Source
Lakartidningen. 1996 May 8;93(19):1835-6
Date
May-8-1996
Language
Swedish
Publication Type
Article
Keywords
Angina Pectoris - diagnosis
Cardiology Service, Hospital - organization & administration
Chest Pain - diagnosis
Coronary Care Units
Diagnosis, Differential
Humans
Myocardial Infarction - diagnosis
Sweden
United States
PubMed ID
8667815 View in PubMed
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[Agents for the metabolic correction of myocardial energy metabolism in treating patients with ischemic heart disease]

https://arctichealth.org/en/permalink/ahliterature54076
Source
Lik Sprava. 2000 Mar;(2):26-30
Publication Type
Article
Date
Mar-2000
Author
A D Vizyr
O V Kraidashenko
O Ie Berezin
O I Oliinyk
Source
Lik Sprava. 2000 Mar;(2):26-30
Date
Mar-2000
Language
Ukrainian
Publication Type
Article
Keywords
Aged
Aged, 80 and over
Angina Pectoris - diagnosis - drug therapy - metabolism - physiopathology
Cardiovascular Agents - therapeutic use
Comparative Study
Drug Therapy, Combination
Energy Metabolism - drug effects
English Abstract
Heart - drug effects
Hemodynamic Processes - drug effects
Humans
Myocardial Ischemia - diagnosis - drug therapy - metabolism - physiopathology
Myocardium - metabolism
Abstract
Correction of the metabolic link of the natural course of ischemic heart disease (IHD) was found out to be a real reserve of enhancement of therapy efficiency in treating this condition. A total of 137 IHD patients were examined, presenting with functional class II-III exertional angina, their age ranging between 67 to 86 years. Kinds of metabolic complexes to be used in IHD treatment included amino acids, antioxidants, cofactors, energy-providing compounds that enhance efficiency of basic methods of IHD therapy. A positive therapeutic effect of metabolic correction treatments was evidenced by earlier dispelling of electrocardiographic signs of myocardial ischemia, higher tolerance to physical load, improvement in parameters characterizing cardio-hemodynamics.
PubMed ID
10862469 View in PubMed
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Alexithymia may influence the diagnosis of coronary heart disease.

https://arctichealth.org/en/permalink/ahliterature218241
Source
Psychosom Med. 1994 May-Jun;56(3):237-44
Publication Type
Article
Author
J. Kauhanen
G A Kaplan
R D Cohen
R. Salonen
J T Salonen
Author Affiliation
State of California Department of Health Services, Berkeley.
Source
Psychosom Med. 1994 May-Jun;56(3):237-44
Language
English
Publication Type
Article
Keywords
Adult
Affective Symptoms - diagnosis - psychology
Angina Pectoris - diagnosis - psychology
Carotid Stenosis - diagnosis - psychology
Cohort Studies
Coronary Disease - diagnosis - psychology
Cross-Sectional Studies
Exercise Test - psychology
Finland
Humans
Male
Middle Aged
Myocardial Infarction - diagnosis - psychology
Personality Assessment
Risk factors
Type A Personality
Abstract
A number of psychosomatic studies have suggested that alexithymia, impairment in identifying and expressing inner feelings, might somehow affect the course of various illnesses. However, none of these studies have distinguished between an impact of alexithymia on actual pathophysiological change versus an impact only on illness behavior. In the present study, a population-based random sample of 2297 middle-aged men from Eastern Finland was evaluated for alexithymia using the Finnish version of the self-report Toronto Alexithymia Scale (TAS). Although high TAS scores were associated with prior diagnosis of coronary heart disease (CHD), they were not associated with greater prevalence of ischemia on an exercise tolerance test. The results of B-mode ultrasonography of the carotid artery for those who had a CHD diagnosis showed that carotid atherosclerosis actually decreased significantly as alexithymia increased. An interaction analysis indicated that alexithymia was related to increased probability of being diagnosed with CHD only among those who had mildly or moderately progressed carotid atherosclerosis, and not among those with the most severe progression. Alexithymia was associated with higher perceived exertion, and to some extent, with more self-reported symptoms during the exercise tolerance test. The findings support the hypothesis that alexithymia relates to increased symptom reporting rather than pathophysiological changes in CHD. The results also suggest that alexithymic men may get diagnosed earlier, perhaps because of their different illness behavior.
PubMed ID
8084970 View in PubMed
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[An epidemiological assessment of ischemic heart disease and mortality in men over 70 in the population of Saint Petersburg].

https://arctichealth.org/en/permalink/ahliterature204340
Source
Ter Arkh. 1998;70(8):8-11
Publication Type
Article
Date
1998
Author
B M Lipovetskii
G I Mirer
Source
Ter Arkh. 1998;70(8):8-11
Date
1998
Language
Russian
Publication Type
Article
Keywords
Age Distribution
Aged
Aged, 80 and over
Angina Pectoris - diagnosis - mortality
Humans
Male
Myocardial Ischemia - diagnosis - mortality
Physical Exertion
Prevalence
Questionnaires
Risk factors
Russia - epidemiology
Urban Population - statistics & numerical data
Abstract
To analyze prevalence of ischemic heart disease (IHD), main IHD risk factors and mortality in the population of males aged 70-79 and over 80 years.
The study included 209 males aged 70-79 years and 96 males over 80. All the males were examined for IHD and 3 main risk factors: blood hypertension, hyperlipidemia and smoking.
Incidence of IHD was about similar in both age groups. For 3.5 years of follow-up in the group of 80-year-olds mortality was 2 times that of the group of 70-79-year-olds. The presence of IHD in the groups was directly related to the presence of 2 or 3 risk factors, especially in the group aged 70-79 years. In the group of 80-year-olds and older combination of IHD with affection of cerebral vessels was a poor prognosis sign.
Factors deteriorating prognosis in males over 70 were: macrofocal myocardial infarction in anamnesis, atherosclerosis of the coronary and cerebral arteries.
PubMed ID
9770734 View in PubMed
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Angina pectoris and ECG abnormalities in relation to prognosis of coronary heart disease in population studies in Finland.

https://arctichealth.org/en/permalink/ahliterature255057
Source
Adv Cardiol. 1973;8:148-61
Publication Type
Article
Date
1973
Source
Ugeskr Laeger. 1984 Sep 24;146(39):2929-33
Publication Type
Article
Date
Sep-24-1984
Author
K E Nielsen
C F Larsen
T. Haghfelt
Source
Ugeskr Laeger. 1984 Sep 24;146(39):2929-33
Date
Sep-24-1984
Language
Danish
Publication Type
Article
Keywords
Angina Pectoris - diagnosis - epidemiology - etiology
Denmark
English Abstract
Humans
Middle Aged
PubMed ID
6515921 View in PubMed
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79 records – page 1 of 8.