© 1989 Oxford University Press
research-article |
Diagnostic Criteria for Hospitalized Acute Myocardial Infarction: The Minnesota Experience
*The Division of Epidemiology, School of Public Health, University of Minnesota Stadium Gate 27, 611 Beacon St SE, Minneapolis, MN 55455, USA.
Mascioli S R (Division of Epidemiology, School of Public Health, University of Minnesota, Minneapolis, MN 55455, USA), Jacobs D R Jr and Kottke T E. Diagnostic criteria for hospitalized acute myocardial infarction: The Minnesota Experience. International Journal of Epidemiology 1989, 18: 76–83.
Standardized diagnostic algorithms are needed for systematic surveillance of hospitalized acute myocardial infarction (AMI). Ambiguities in diagnostic classification are resolvable to the extent that objective information is available in the hospital chart. In this study of diagnostic algorithms, serum cardiac enzyme levels, especially creatine kinase total (CK-TOT) and creatine kinase myocardial band (CK-MB) isoenzyme, were most closely correlated with the physician-reviewer diagnostic assignment used for validation; chest pain and electrocardiographic findings were less closely correlated. In addition, a close relationship was noted between the clinician's diagnostic impression and testing procedures and the final hospital discharge diagnosis. Thus, the algorithm should include discharge diagnosis as a classification element. The algorithm for cases discharged as acute myocardial infarction should be very sensitive, tending to call cases acute myocardial infarction. Other discharge diagnoses may harbour some clinically unrecognized myocardial infarction cases; however, the algorithm for such cases should be restrictive and specific to minimize false positives. These findings indicate optimal ways of combining clinical characteristics to most completely and accurately identify cases of acute myocardial infarction based on hospital records examined in retrospect.
Revised 1 June 1988
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  A Gonzalez, H M. Kremers, C S Crowson, K V Ballman, V L Roger, S J Jacobsen, W M O'Fallon, and S E Gabriel Do cardiovascular risk factors confer the same risk for cardiovascular outcomes in rheumatoid arthritis patients as in non-rheumatoid arthritis patients? Ann Rheum Dis, January 1, 2008; 67(1): 64 - 69. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C Turesson, R L McClelland, T J H Christianson, and E L Matteson Severe extra-articular disease manifestations are associated with an increased risk of first ever cardiovascular events in patients with rheumatoid arthritis Ann Rheum Dis, January 1, 2007; 66(1): 70 - 75. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 W. D. Rosamond, L. E. Chambless, P. D. Sorlie, E. M. Bell, S. Weitzman, J. C. Smith, and A. R. Folsom Trends in the Sensitivity, Positive Predictive Value, False-Positive Rate, and Comparability Ratio of Hospital Discharge Diagnosis Codes for Acute Myocardial Infarction in Four US Communities, 1987-2000 Am. J. Epidemiol., December 15, 2004; 160(12): 1137 - 1146. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. E. Kimmel, J. A. Berlin, M. Reilly, J. Jaskowiak, L. Kishel, J. Chittams, and B. L. Strom The effects of nonselective non-aspirin non-steroidal anti-inflammatory medications on the risk of nonfatal myocardial infarction and their interaction with aspirin J. Am. Coll. Cardiol., March 17, 2004; 43(6): 985 - 990. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 W. H. Sauer, J. A. Berlin, and S. E. Kimmel Effect of Antidepressants and Their Relative Affinity for the Serotonin Transporter on the Risk of Myocardial Infarction Circulation, July 8, 2003; 108(1): 32 - 36. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 W. H. Sauer, J. A. Berlin, B. L. Strom, C. Miles, J. L. Carson, and S. E. Kimmel Cigarette Yield and the Risk of Myocardial Infarction in Smokers Arch Intern Med, February 11, 2002; 162(3): 300 - 306. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. H. Sauer, J. A. Berlin, and S. E. Kimmel Selective Serotonin Reuptake Inhibitors and Myocardial Infarction Circulation, October 16, 2001; 104(16): 1894 - 1898. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. E. Kimmel, J. A. Berlin, C. Miles, J. Jaskowiak, J. L. Carson, and B. L. Strom Risk of acute first myocardial infarction and use of nicotine patches in a general population J. Am. Coll. Cardiol., April 1, 2001; 37(5): 1297 - 1302. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. E. Kimmel, A. R. Localio, C. Brensinger, C. Miles, J. Hirshfeld, H. L. Haber, and B. L. Strom Effects of Coronary Stents on Cardiovascular Outcomes in Broad-Based Clinical Practice Arch Intern Med, September 25, 2000; 160(17): 2593 - 2599. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. P. Fortmann and A. N. Varady Effects of a Community-wide Health Education Program on Cardiovascular Disease Morbidity and Mortality The Stanfort Five-City Project Am. J. Epidemiol., August 15, 2000; 152(4): 316 - 323. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. C. Goff Jr, D. K. Pandey, F. A. Chan, C. Ortiz, and M. Z. Nichaman Congestive Heart Failure in the United States: Is There More Than Meets the I(CD Code)? The Corpus Christi Heart Project Arch Intern Med, January 24, 2000; 160(2): 197 - 202. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. C. Goff, M. Z. Nichaman, W. Chan, D. J. Ramsey, D. R. Labarthe, and C. Ortiz Greater Incidence of Hospitalized Myocardial Infarction Among Mexican Americans Than Non-Hispanic Whites : The Corpus Christi Heart Project, 1988-1992 Circulation, March 18, 1997; 95(6): 1433 - 1440. [Abstract] [Full Text]
|
|