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Outcomes.

Rates of heart failure, cardiogenic shock, arrhythmias, and renal failure were all higher among those presenting atypically. Perhaps most notable were the higher mortality rates among these patients, even when researchers adjusted for factors known to predispose patients to worse outcomes. Among patients with ST-segment elevation myocardial infarction (STEMI), the rate of hospital deaths in those with atypical symptoms was almost 19%; in those with typical symptoms, it was 6%. Among those with anterior STEMI, the rates were 23% and 7%, respectively. Patients with unstable angina or NSTEMI who presented with atypical symptoms fared somewhat better, with hospital death rates of 8% and 12%, respectively, although these rates were also higher than those in their counterparts presenting typically (2.5% and 4%, respectively).

The study authors point out that in addition to failing to recognize these conditions at presentation, clinicians were not correcting their mistakes during the patients’ hospitalizations, which in all likelihood contributed to the poor outcomes.

結果。

在那些呈現非典型症狀的患者之中,心臟衰竭、心因性休克、心律不整,和腎衰竭的發生率是更高的。或許在這些患者之中最著名的是更高的死亡率, 即使當研究員調整了為因素已知預先處理患者對更壞的結果。在有ST 段上升心肌梗塞病人之中(STEMI),在那些以非典型症狀患者醫院的死亡率是幾乎19%; 在那些以典型的症狀患者中, 它是佔6%。在那些前璧STEMI(ST 段上升心肌梗塞)之中,各自的死亡率為23% 和7%。不穩定的心絞痛或NSTEMI患者出現非典型症狀的經歷了有些是好的,以醫院死亡率來看各自地為8% 和12%,雖然這些數據比那些在他們的相對典型症狀所呈現的(2.5% 和4%, 各自地)還高。研究作者指出那除了對於認不出這些情況之外,臨床工作者在患者的住院治療期間沒有修正他們的錯誤,那些全會導致較不好的結果。

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  • 1 0 年前
    最佳解答

    Outcomes. 結果。

    Rates of heart failure, cardiogenic shock, arrhythmias, and renal failure were all higher among those presenting atypically.

    非典型症狀的患者發生心臟衰竭、心因性休克、心律不整,和腎臟衰竭的機率都是更高的。

    Perhaps most notable were the higher mortality rates among these patients, even when researchers adjusted for factors known to predispose patients to worse outcomes.

    或許最值得注意的是,即使研究人員已排除一些較差預後的因素,非典型症狀病患的死亡率仍然很高。

    Among patients with ST-segment elevation myocardial infarction (STEMI), the rate of hospital deaths in those with atypical symptoms was almost 19%; in those with typical symptoms, it was 6%. Among those with anterior STEMI, the rates were 23% and 7%, respectively.

    在有ST段上升心肌梗塞(STEMI)病人之中, 住院的非典型症狀患者的死亡率大約是19%; 而典型症狀患者的死亡率是6%。心臟前壁STEMI(ST段上升心肌梗塞)患者的死亡率,非典型症狀者23%,典型症狀者7%。

    Patients with unstable angina or NSTEMI who presented with atypical symptoms fared somewhat better, with hospital death rates of 8% and 12%, respectively, although these rates were also higher than those in their counterparts presenting typically (2.5% and 4%, respectively).

    出現非典型症狀的不穩定心絞痛或NSTEMI患者的命運可能略好,其住院死亡率分別為8% 和12%,雖然這些數據還是高於典型症狀病患的2.5%和4%。

    The study authors point out that in addition to failing to recognize these conditions at presentation, clinicians were not correcting their mistakes during the patients’ hospitalizations, which in all likelihood contributed to the poor outcomes.

    研究作者指出預後不好的理由,除了在病患到院時未能察覺這些病況之外,也很可能是臨床醫師在患者住院期間沒有修正他們的錯誤。

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