Evidence map›Paper›PMID 37345749›Full record

ArticleJournal of the American Heart Association2023

Incidence, Relevant Patient Factors, and Clinical Outcomes of the Misdiagnosis of ST-Segment-Elevation Myocardial Infarction: Results From the Korea Acute Myocardial Infarction Registry.

Kyung Hoon Cho, Min-Ho Shin, Min Chul Kim, Doo Sun Sim, Young Joon Hong, Ju Han Kim, Youngkeun Ahn, Hyo-Soo Kim, Seung-Ho Hur, Sang Rok Lee and 5 more

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Kyung Hoon ChoDepartment of Cardiology Chonnam National University Hospital and Medical School Gwangju South Korea.ORCID 0000-0002-0377-6352
Min-Ho ShinDepartment of Preventive Medicine Chonnam National University Medical School Gwangju Hwasun-gun South Korea.ORCID 0000-0002-2217-5624
Min Chul KimDepartment of Cardiology Chonnam National University Hospital and Medical School Gwangju South Korea.ORCID 0000-0001-6026-1702
Doo Sun SimDepartment of Cardiology Chonnam National University Hospital and Medical School Gwangju South Korea.ORCID 0000-0003-4162-7902
Young Joon HongDepartment of Cardiology Chonnam National University Hospital and Medical School Gwangju South Korea.
Ju Han KimDepartment of Cardiology Chonnam National University Hospital and Medical School Gwangju South Korea.
Youngkeun AhnDepartment of Cardiology Chonnam National University Hospital and Medical School Gwangju South Korea.ORCID 0000-0003-2022-9366
Hyo-Soo KimDepartment of Cardiology Seoul National University Medical School Seoul South Korea.ORCID 0000-0003-0847-5329
Seung-Ho HurDepartment of Cardiology Keimyung University Dongsan Medical Center Daegu South Korea.ORCID 0000-0002-3895-1915
Sang Rok LeeDepartment of Cardiology Chonbuk National University Medical School Jeonju South Korea.ORCID 0000-0002-5845-2232
Jin-Yong HwangDepartment of Cardiology Gyeongsang National University Medical School Jinju South Korea.
Seok Kyu OhDepartment of Cardiology Wonkwang University Hospital Iksan South Korea.ORCID 0000-0001-7545-0143
Kwang Soo ChaDepartment of Cardiology Pusan National University Medical School Busan South Korea.
Myung Ho JeongDepartment of Cardiology Chonnam National University Hospital and Medical School Gwangju South Korea.ORCID 0000-0001-7319-8562
Korea Acute Myocardial Infarction Registry (KAMIR) Investigators*

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Data on the incidence, relevant patient factors, and clinical outcomes of the misdiagnosis of ST-segment-elevation myocardial infarction (STEMI) in the modern era of percutaneous coronary intervention are limited. Methods and Results Data from KAMIR (Korea Acute Myocardial Infarction Registry) between November 2011 and June 2020 were analyzed. Out of 28 470 patients with acute myocardial infarction, 11 796 were eventually diagnosed with STEMI following a coronary angiogram. They were classified into 2 groups: patients with an initial working diagnosis of STEMI before starting the initial treatment and patients with an initial working diagnosis of non-STEMI (misdiagnosed group). Out of 11 796 patients with a final diagnosis of STEMI, 165 (1.4%) were misdiagnosed. The door-to-angiography time in the misdiagnosed group was 5 times longer than that in the timely diagnosed group (median 220 [interquartile range {IQR}, 66-1177] versus 43 [IQR, 31-58] minutes;

Indexed as

Myocardial InfarctionPercutaneous Coronary InterventionST Elevation Myocardial InfarctionDiagnostic ErrorsHumansIncidenceRegistriesRepublic of KoreaRisk FactorsTreatment Outcomecoronary angiographydiagnostic errorsincidencepercutaneous coronary interventionregistriesST‐segment–elevation myocardial infarction

Identifiers

PMID37345749
PMCPMC10356100

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.