The German CPU registry: dyspnea independently predicts negative short-term outcome in patients admitted to German Chest Pain Units
Background - While dyspnea is a common symptom in patients admitted to Chest Pain Units (CPUs) little is known about the impact of dyspnea on their outcome. The purpose of this study was to evaluate the impact of dyspnea on the short-term outcome of CPU patients. - Methods - We analyzed data from a...
Gespeichert in:
| Hauptverfasser: | , , , , , , , , , , , , , , |
|---|---|
| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
2015
|
| In: |
International journal of cardiology
Year: 2014, Jahrgang: 181, Pages: 88-95 |
| ISSN: | 1874-1754 |
| DOI: | 10.1016/j.ijcard.2014.11.199 |
| Online-Zugang: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.ijcard.2014.11.199 Verlag, lizenzpflichtig, Volltext: http://www.sciencedirect.com/science/article/pii/S0167527314023808 
|
| Verfasserangaben: | Kristian Hellenkamp, Harald Darius, Evangelos Giannitsis, Raimund Erbel, Michael Haude, Christian Hamm, Gerd Hasenfuss, Gerd Heusch, Harald Mudra, Thomas Münzel, Claus Schmitt, Burghard Schumacher, Jochen Senges, Thomas Voigtländer, Lars S. Maier |
MARC
| LEADER | 00000caa a2200000 c 4500 | ||
|---|---|---|---|
| 001 | 1727136519 | ||
| 003 | DE-627 | ||
| 005 | 20241016151248.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 200817r20152014xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1016/j.ijcard.2014.11.199 |2 doi | |
| 035 | |a (DE-627)1727136519 | ||
| 035 | |a (DE-599)KXP1727136519 | ||
| 035 | |a (OCoLC)1341355300 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a eng | ||
| 084 | |a 33 |2 sdnb | ||
| 100 | 1 | |a Hellenkamp, Kristian |e VerfasserIn |0 (DE-588)1216047022 |0 (DE-627)1727136306 |4 aut | |
| 245 | 1 | 4 | |a The German CPU registry |b dyspnea independently predicts negative short-term outcome in patients admitted to German Chest Pain Units |c Kristian Hellenkamp, Harald Darius, Evangelos Giannitsis, Raimund Erbel, Michael Haude, Christian Hamm, Gerd Hasenfuss, Gerd Heusch, Harald Mudra, Thomas Münzel, Claus Schmitt, Burghard Schumacher, Jochen Senges, Thomas Voigtländer, Lars S. Maier |
| 264 | 1 | |c 2015 | |
| 300 | |a 8 | ||
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Available online 28 November 2014 | ||
| 500 | |a Gesehen am 17.08.2020 | ||
| 520 | |a Background - While dyspnea is a common symptom in patients admitted to Chest Pain Units (CPUs) little is known about the impact of dyspnea on their outcome. The purpose of this study was to evaluate the impact of dyspnea on the short-term outcome of CPU patients. - Methods - We analyzed data from a total of 9169 patients admitted to one of the 38 participating CPUs in this registry between December 2008 and January 2013. Only patients who underwent coronary angiography for suspected ACS were included. 2601 patients (28.4%) presented with dyspnea. - Results - Patients with dyspnea at admission were older and frequently had a wide range of comorbidities compared to patients without dyspnea. Heart failure symptoms in particular were more common in patients with dyspnea (21.0% vs. 5.3%, p<0.05) at admission. Importantly, in patients presenting with dyspnea the 3month mortality was fourfold higher compared to patients without dyspnea (8.6% vs. 2.1%, p<0.05, OR death: 4.40 95% CI 3.14-6.03). Interestingly, the mortality estimated from the GRACE risk score was below the actual mortality assessed after the 3month follow-up. After adjustment for the GRACE risk score or for heart failure, dyspnea remained highly predictive of death and myocardial infarction within 3months (OR death adjusted for heart failure: 2.99 95% CI 1.99-4.47 and OR death adjusted for GRACE risk score: 3.37 95% CI 2.27-4.99). - Conclusion - Dyspnea is a common symptom in CPU patients. Our data show that dyspnea is associated with a fourfold higher 3month mortality which is underestimated by the established ACS risk scores. To improve their predictive value we therefore propose to add dyspnea as an item to common risk scores. | ||
| 534 | |c 2014 | ||
| 650 | 4 | |a Acute coronary syndrome | |
| 650 | 4 | |a Chest pain | |
| 650 | 4 | |a Dyspnea | |
| 650 | 4 | |a Heart failure | |
| 650 | 4 | |a Outcome | |
| 650 | 4 | |a Prognosis | |
| 700 | 1 | |a Darius, Harald |e VerfasserIn |4 aut | |
| 700 | 1 | |a Giannitsis, Evangelos |e VerfasserIn |0 (DE-588)113336241 |0 (DE-627)577184091 |0 (DE-576)289759579 |4 aut | |
| 700 | 1 | |a Erbel, Raimund |e VerfasserIn |4 aut | |
| 700 | 1 | |a Haude, Michael |e VerfasserIn |4 aut | |
| 700 | 1 | |a Hamm, Christian |e VerfasserIn |4 aut | |
| 700 | 1 | |a Hasenfuss, Gerd |e VerfasserIn |4 aut | |
| 700 | 1 | |a Heusch, Gerd |e VerfasserIn |4 aut | |
| 700 | 1 | |a Mudra, Harald |e VerfasserIn |4 aut | |
| 700 | 1 | |a Münzel, Thomas |e VerfasserIn |4 aut | |
| 700 | 1 | |a Schmitt, Claus |e VerfasserIn |4 aut | |
| 700 | 1 | |a Schumacher, Burghard |e VerfasserIn |4 aut | |
| 700 | 1 | |a Senges, Jochen |d 1942- |e VerfasserIn |0 (DE-588)1027133479 |0 (DE-627)728326620 |0 (DE-576)372508685 |4 aut | |
| 700 | 1 | |a Voigtländer, Thomas |e VerfasserIn |4 aut | |
| 700 | 1 | |a Maier, Lars S. |e VerfasserIn |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t International journal of cardiology |d Amsterdam [u.a.] : Elsevier Science, 1981 |g 181(2015), Seite 88-95 |h Online-Ressource |w (DE-627)306659581 |w (DE-600)1500478-8 |w (DE-576)081986270 |x 1874-1754 |7 nnas |a The German CPU registry dyspnea independently predicts negative short-term outcome in patients admitted to German Chest Pain Units |
| 773 | 1 | 8 | |g volume:181 |g year:2015 |g pages:88-95 |g extent:8 |a The German CPU registry dyspnea independently predicts negative short-term outcome in patients admitted to German Chest Pain Units |
| 856 | 4 | 0 | |u https://doi.org/10.1016/j.ijcard.2014.11.199 |x Verlag |x Resolving-System |z lizenzpflichtig |3 Volltext |
| 856 | 4 | 0 | |u http://www.sciencedirect.com/science/article/pii/S0167527314023808 |x Verlag |z lizenzpflichtig |3 Volltext |
| 951 | |a AR | ||
| 992 | |a 20200817 | ||
| 993 | |a Article | ||
| 994 | |a 2015 | ||
| 998 | |g 1027133479 |a Senges, Jochen |m 1027133479:Senges, Jochen |d 50000 |e 50000PS1027133479 |k 0/50000/ |p 13 | ||
| 998 | |g 113336241 |a Giannitsis, Evangelos |m 113336241:Giannitsis, Evangelos |d 910000 |d 910100 |e 910000PG113336241 |e 910100PG113336241 |k 0/910000/ |k 1/910000/910100/ |p 3 | ||
| 999 | |a KXP-PPN1727136519 |e 3740463015 | ||
| BIB | |a Y | ||
| SER | |a journal | ||
| JSO | |a {"note":["Available online 28 November 2014","Gesehen am 17.08.2020"],"recId":"1727136519","person":[{"given":"Kristian","display":"Hellenkamp, Kristian","family":"Hellenkamp","role":"aut"},{"family":"Darius","role":"aut","given":"Harald","display":"Darius, Harald"},{"role":"aut","family":"Giannitsis","given":"Evangelos","display":"Giannitsis, Evangelos"},{"given":"Raimund","display":"Erbel, Raimund","family":"Erbel","role":"aut"},{"given":"Michael","display":"Haude, Michael","role":"aut","family":"Haude"},{"display":"Hamm, Christian","given":"Christian","family":"Hamm","role":"aut"},{"given":"Gerd","display":"Hasenfuss, Gerd","role":"aut","family":"Hasenfuss"},{"given":"Gerd","display":"Heusch, Gerd","role":"aut","family":"Heusch"},{"given":"Harald","display":"Mudra, Harald","role":"aut","family":"Mudra"},{"role":"aut","family":"Münzel","given":"Thomas","display":"Münzel, Thomas"},{"display":"Schmitt, Claus","given":"Claus","family":"Schmitt","role":"aut"},{"role":"aut","family":"Schumacher","given":"Burghard","display":"Schumacher, Burghard"},{"family":"Senges","role":"aut","display":"Senges, Jochen","given":"Jochen"},{"display":"Voigtländer, Thomas","given":"Thomas","family":"Voigtländer","role":"aut"},{"given":"Lars S.","display":"Maier, Lars S.","family":"Maier","role":"aut"}],"name":{"displayForm":["Kristian Hellenkamp, Harald Darius, Evangelos Giannitsis, Raimund Erbel, Michael Haude, Christian Hamm, Gerd Hasenfuss, Gerd Heusch, Harald Mudra, Thomas Münzel, Claus Schmitt, Burghard Schumacher, Jochen Senges, Thomas Voigtländer, Lars S. Maier"]},"language":["eng"],"origin":[{"dateIssuedKey":"2015","dateIssuedDisp":"2015"}],"relHost":[{"recId":"306659581","id":{"issn":["1874-1754"],"eki":["306659581"],"zdb":["1500478-8"]},"physDesc":[{"extent":"Online-Ressource"}],"title":[{"title":"International journal of cardiology","title_sort":"International journal of cardiology"}],"origin":[{"publisherPlace":"Amsterdam [u.a.]","dateIssuedKey":"1981","dateIssuedDisp":"1981-","publisher":"Elsevier Science"}],"part":{"text":"181(2015), Seite 88-95","pages":"88-95","extent":"8","year":"2015","volume":"181"},"language":["eng"],"pubHistory":["1.1981 -"],"note":["Gesehen am 13.02.20","Ungezählte Beil.: Supplement"],"disp":"The German CPU registry dyspnea independently predicts negative short-term outcome in patients admitted to German Chest Pain UnitsInternational journal of cardiology","type":{"media":"Online-Ressource","bibl":"periodical"}}],"id":{"eki":["1727136519"],"doi":["10.1016/j.ijcard.2014.11.199"]},"physDesc":[{"extent":"8 S."}],"title":[{"subtitle":"dyspnea independently predicts negative short-term outcome in patients admitted to German Chest Pain Units","title":"The German CPU registry","title_sort":"German CPU registry"}],"type":{"bibl":"article-journal","media":"Online-Ressource"}} | ||
| SRT | |a HELLENKAMPGERMANCPUR2015 | ||