Diagnostic Accuracy of the Electrocardiographic Decision Support – Myocardial Ischaemia (EDS-MI) Algorithm in Detection of Acute Coronary Occlusion

Diagnostic Accuracy of the Electrocardiographic Decision Support – Myocardial Ischaemia (EDS-MI) Algorithm in Detection of Acute Coronary Occlusion

Electrocardiographic Decision Support – Myocardial Ischaemia (EDS-MI) is a graphical decision support for detection and localization of acute transmural ischaemia. A recent study indicated that EDS-MI performs well for detection of acute transmural ischaemia. However, its performance has not been tested in patients with non-ischaemic ST-deviation. We aimed to optimize the diagnostic accuracy of EDS-MI…

Effects of supplemental oxygen therapy in patients with suspected acute myocardial infarction: A meta-analysis of randomized clinical trials

Effects of supplemental oxygen therapy in patients with suspected acute myocardial infarction: A meta-analysis of randomized clinical trials

Background Although oxygen therapy has been used for over a century in the management of patients with suspected acute myocardial infarction (AMI), recent studies have raised concerns around the efficacy and safety of supplemental oxygen in normoxaemic patients. Objective To synthesise the evidence from randomised controlled trials (RCTs) that investigated the effects of supplemental oxygen…

A multicenter evaluation of the safety and effectiveness of a 0h/1h protocol in the assessment of emergency department chest pain patients
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A multicenter evaluation of the safety and effectiveness of a 0h/1h protocol in the assessment of emergency department chest pain patients

If a 0h/1h protocol implemented in routine care can rapidly identify a large proportion of chest pain patients suitable for early discharge, with no need for further cardiac testing, this may reduce ED and hospital crowding, objective testing, health care costs and will benefit both patients and the health care system.

Aortic Dissection in a Swedish Population – Patient Characteristics, Symptoms and Mortality
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Aortic Dissection in a Swedish Population – Patient Characteristics, Symptoms and Mortality

The majority of AD patients are males, and previous hypertension and AA are common. The typical presenting complaint is chest pain, but most patients have other chief complaints. AD patients have a substantial 30 -day risk of death and major adverse cardiovascular events.

Effect of oxygen therapy on chest pain in patients with STEMI: Results from the randomized SOCCER trial

Effect of oxygen therapy on chest pain in patients with STEMI: Results from the randomized SOCCER trial

Objective Oxygen (O2) have been a cornerstone in the treatment of acute myocardial infarction. Studies have been inconclusive regarding the cardiovascular and analgesic effects of oxygen in these patients. In the SOCCER trial, we compared the effects of oxygen treatment versus room air in patients with ST-elevation myocardial infarction (STEMI). There was no difference in…

The ABC of Atrial Fibrillation at the Emergency Care Department [Swedish]

The ABC of Atrial Fibrillation at the Emergency Care Department [Swedish]

Atrial fibrillation (AF) is the most common tachyarrhythmia. When handling patients with AF at the emergency care department it is of utmost importance to take a structural approach, make the right diagnosis, take care of the risk and/or trigger factors, treat and make sure there is an adequate follow-up.

Prehospital Diagnosis and Oxygen Treatment in ST Elevation Myocardial Infarction

Prehospital Diagnosis and Oxygen Treatment in ST Elevation Myocardial Infarction

Introduction Paper I: An Artificial Neural Network (ANN) was constructed to identify ST Elevation Myocardial Infarction (STEMI) and predict the need for Percutaneous Coronary Intervention – PCI. Paper II, III and IV: Studies suggest that O2 therapy may be harmful in STEMI patients. We therefore conducted the SOCCER study to evaluate the effects of O2…

Nineteen Victims of Homicide and Attempted Homicide in Sweden – Their Injuries, Cause of Death and Offender Relationship
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Nineteen Victims of Homicide and Attempted Homicide in Sweden – Their Injuries, Cause of Death and Offender Relationship

Victims of homicide and attempted homicide are not uncommon in Sweden. We therefore aimed to study these victims to understand their injuries, their cause of death, and their relationship to the offender. All cases during five years in a district court in Sweden, where an offender had been convicted for homicide or attempted homicide, were…