ArticleBMC research notes2012
Likelihood of acute coronary syndrome in emergency department chest pain patients varies with time of presentation.
Article in BMC research notes, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
9 citing papers in PubMed.
- Chest discomfort at night and risk of acute coronary syndrome: cross-sectional study of telephone conversations.Family practice · 2020Trial
- An artificial intelligence model for electrocardiogram detection of occlusion myocardial infarction: a retrospective study to reduce false-positive cath lab activations.European heart journal. Digital health · 2026Article
- Derivation of a HEAR Pathway for Emergency Department Chest Pain Patients to Safely Avoid a Second Troponin Test.Diagnostics (Basel, Switzerland) · 2023Article
- Article
- Epidemiology and chronobiology of out-of-hospital cardiac arrest in a subpopulation of southern Poland: A two-year observation.Cardiology journal · 2020Observational
- Management of acute coronary syndrome in emergency departments: a cross sectional multicenter study (Tunisia).BMC emergency medicine · 2018Article
- A portable prototype magnetometer to differentiate ischemic and non-ischemic heart disease in patients with chest pain.PloS one · 2018Article
- Acute coronary syndromes occurring while driving: frequency and patient characteristics.Environmental health and preventive medicine · 2017Article
- Bridging the gap: a five stage approach for developing specialty-specific entrustable professional activities.BMC medical education · 2016Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundThere is a circadian and circaseptal (weekly) variation in the onset of acute coronary syndrome (ACS). The aim of this study was to elucidate whether the likelihood of ACS among emergency department (ED) chest pain patients varies with the time of presentation.
methodsAll patients presenting to the Lund ED at Skåne University Hospital with chest pain or discomfort during 2006 and 2007 were retrospectively included. Age, sex, arrival time at the ED and discharge diagnose (ACS or not) were obtained from the electronic medical records.
resultsThere was a clear but moderate circadian variation in the likelihood of ACS among presenting chest pain patients, the likelihood between 8 and 10 am being almost twice as high as between 6 and 8 pm. This was mainly explained by a variation in the ACS likelihood in females and patients under 65 years, with no significant variation in males and patients over 65 years. There was no significant circaseptal variation in the ACS likelihood.
conclusionsOur results indicate that there is a circadian variation in the likelihood of ACS among ED chest pain patients, and suggest that physicians should consider the time of presentation to the ED when determining the likelihood of ACS.
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Registered trials
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