既往玫瑰型心绞痛对急诊入院后心肌梗死确诊的预测价值。
Predictive value of prior Rose angina for myocardial infarction confirmation after emergency admissions.
作者信息
Haywood L J, Faucett C, deGuzman M, Ell K, Norris S, Butts E
机构信息
Department of Medicine, LAC + USC Medical Center, Los Angeles, CA 90033, USA.
出版信息
J Natl Med Assoc. 1998 Apr;90(4):241-52.
The Rose Questionnaire, developed to facilitate screening for the presence of coronary artery disease, has shown good utility for white men and more variable utility among Latino, African-American, and female subjects. This study investigated its utility for prediction of outcome in patients with suspected myocardial infarction. A total of 1428 white, Latino, and African-American subjects completed questionnaires after emergency admission, which were correlated with diagnoses at the time of discharge from a public hospital and private hospital. Results indicated that subjects with positive questionnaires were less likely to have infarction confirmed at discharge, except for those with a prior history of myocardial infarction, than those with a negative response. These data are important in evaluating the overall utility of the Rose Questionnaire and the significance of angina.
罗斯问卷是为便于筛查冠状动脉疾病而编制的，已证明对白人男性有很好的效用，而在拉丁裔、非裔美国人和女性受试者中效用则有所不同。本研究调查了其对疑似心肌梗死患者预后的预测效用。共有1428名白人、拉丁裔和非裔美国受试者在急诊入院后完成了问卷，这些问卷与从公立医院和私立医院出院时的诊断相关。结果表明，除有心肌梗死病史者外，问卷呈阳性的受试者在出院时确诊梗死的可能性低于问卷呈阴性的受试者。这些数据对于评估罗斯问卷的整体效用以及心绞痛的意义具有重要意义。
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