Citation Information :
Adake D, Singh P, Ursekar R, Sada E, Bhot F, Shriyan S. A Clinical Overview of Patients Presenting to ER with Myocardial Infarction Assessed by ESI. Nat J Emerg Med 2023; 1 (2):48-51.
Objectives: The objective of the study is to assess patients with chest pain in ER with the perspective of classifying them according to emergency severity index (ESI) and understanding the outcomes and various parameters according to ESI.
Materials and methods: This study is a longitudinal observational study. Collection of data for 100 patients was done. Compilation of data and their statistical analysis were performed.
Results: Gender is significantly associated with ESI (p-value = 0.020). Patients with ESI-III category had significantly lower age than the patients with ESI-I and II categories. There was no association of ESI category with hypertension, diabetes mellitus, IHD, and COPD. Smoking history was significantly associated with the ESI category. Exercise and vegetarian habits were not associated with ESI.
Conclusion: Gender exhibited a significant association with ESI classification, revealing gender-related differences in severity distribution. This is a first of its kind study done where patients with chest pain are seen from the ESI point of view. We urge other centres to perform this study so that a wider consensus can be reached.
Roffi M, Patrono CE, Collet JP, et al. 2015 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: Task force for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J 2016;37(3):267–315. DOI: 10.1093/eurheartj/ehv320.
Amsterdam EA, Wenger NK, Brindis RG, et al. ACC/AHA task force members. 2014 AHA/ACC guideline for the management of patients with non-ST-elevation acute coronary syndromes: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation 2014;130(25):e344–426. DOI: https://doi.org/10.1161/CIR.0000000000000133.
Yancy CW, Jessup M, Bozkurt B, et al. 2013 ACCF/AHA guideline for the management of heart failure: A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 2013;62(16):e147–e239. DOI: 10.1016/j.jacc.2013.05.019.
ESC Committee for Practice Guidelines (CPG), Jeroen J. Bax (CPG Chairperson) (The Netherlands), Helmut Baumgartner (Germany), Claudio Ceconi (Italy), Veronica Dean (France), Christi Deaton (UK), Robert Fagard (Belgium), Christian Funck-Brentano (France), David Hasdai (Israel), Arno Hoes (The Netherlands), Paulus Kirchhof (Germany/UK). Third universal definition of myocardial infarction. J Am Coll Cardiol 2012;60(16):1581–1598. DOI: 10.1016/j.jacc.2012. 08.001.
Jeffrey AL, Adams CD, Antman EM, et al. ACC/AHA 2007 guidelines for the management of patients with unstable angina/non–ST-elevation myocardial infarction: A report of the American College of Cardiology/American Heart Association task force on practice guidelines (Writing committee to revise the 2002 guidelines for the management of patients with unstable angina/non–ST-elevation myocardial infarction) developed in collaboration with the American College of Emergency Physicians, the Society for Cardiovascular Angiography and Interventions, and the Society of Thoracic Surgeons Endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation and the Society for Academic Emergency Medicine. Journal of the American College of Cardiology 2007;50: e1–e157. DOI: https://doi.org/10.1016/j.jacc.2007.02.013.