Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
Prognostic Significance of Electrocardiographic Change during Anginal Attack in Patients with Unstable Angina
Makoto SAITOHKoh MATSUOShigeru NOMOTOTatsushi UCHIYAMATeruo KONDOHTetsuo YANAGAWA
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JOURNAL FREE ACCESS

2000 Volume 39 Issue 5 Pages 369-374

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Abstract

Objective and Methods We examined the prognostic significance of electrocardiographic change during anginal attack, C-reactive protein and fibrinogen in 169 patients with unstable angina.
Results During the 90-day follow-up period, 26 patients (15%) exhibited new cardiac events (death, myocardial infarction or urgent revascularization). Using multivariate analysis, ST depression (relative risk 7.507 [95% confidence intervals 1.842-30.592], p<0.01) during anginal attack was found to be an independent risk factor to predict cardiac events as well as diabetes mellitus, an increased total cholesterol level and the use of a thrombolytic agent. C-reactive protein and fibrinogen did not have prognostic significance.
Conclusion ST depression during anginal attack is an independent risk predictor for new cardiac events in patients with unstable angina.
(Internal Medicine 39: 369-374, 2000)

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© The Japanese Society of Internal Medicine
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