Inpatient versus outpatient onsets of acute myocardial infarction

Incidence, Risk Factors, and Outcomes Associated With In-Hospital Acute Myocardial Infarction

“… 1 , 2 It is increasingly recognized that AMI also occurs among patients already hospitalized for other conditions. 3 , 4 Insights on AMI occurring during hospitalization are limited.…”

“…Additionally, prior studies have compared in-hospital AMI outcomes with those of individuals with outpatient onset AMI who survive to hospital admission, potentially biasing comparisons of patient characteristics and outcomes. 3 , 4 , 5 , 6 , 7 , 8 , 10 , 11 Finally, STEMI reflects less than 25% of all myocardial infarctions 2 and few studies of in-hospital AMI have included non–ST-segment elevation myocardial infarctions (NSTEMI). 3 , 4 , 11 , 12 , 13 Little is known about the full spectrum of in-hospital AMI.…”

Type 2 myocardial infarction

“…We have already showed that patients suffering AMI when already in hospital for other reasons had a worse prognosis than those with outpatient-onset AMI. 8 As yet, there is no consensus on the treatment of patients with a presumptive diagnosis of T2MI. Given the physiopathology, aggressive anticoagulation, platelet inhibition and early PCI could potentially be harmful, and the first line of treatment should often be limited to the underlying conditions.…”

“…Details have been previously published. [7][8][9] Among 106 hospitals treating ACS in Switzerland, 83 hospitals temporarily or continuously enrolled patients in AMIS Plus. Participating centers, ranging from community institutions to large tertiary facilities, provided blinded data for each patient through standardized internet-based or paper-based questionnaires.…”

Treatment and outcomes of patients with recurrent myocardial infarction: A prospective observational cohort study

“…It was founded by the Swiss Societies of Cardiology, Internal Medicine, and Intensive Care Medicine in 1997 with the goal to understand the transfer, use, and practicability of knowledge gained from randomized trials in the real world of daily clinical practice. Details have been previously published [8][9][10][11][12][13][14][15][16].…”