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How common are ventricular arrhythmias in patients admitted to CCU with chest pain and a non-ischaemic ECG? A pilot study
  1. Anne-Maree Kelly1,
  2. Sharon Klim2
  1. 1Joseph Epstein Centre for Emergency Medicine Research at Western Health and The University of Melbourne, Victoria, Australia
  2. 2Joseph Epstein Centre for Emergency Medicine Research at Western Health, Victoria, Australia
  1. Correspondence to Professor Anne-Maree Kelly, Joseph Epstein Centre for Emergency Medicine, JECEMR, Sunshine Hospital, St Albans 3021, Australia; anne-maree.kelly{at}wh.org.au

Abstract

Objective The aim of this study was to determine the incidence of serious ventricular arrhythmias in a cohort of patients admitted to coronary care units for investigation and treatment of possible acute coronary syndrome.

Design Secondary analysis of prospective cohort study.

Setting Community teaching hospital.

Patients Adults (>18 years) admitted to coronary care unit with chest pain and non-ischaemic ECG.

Interventions None.

Main outcome measures Rate of serious ventricular arrhythmia during hospital stay.

Results 397 patients were studied; median age 64 years, 65% male; median Thrombolysis in Myocardial Infarction score 3; troponin elevation 43%, final diagnosis myocardial infarction 32%. No patient in the study suffered a serious ventricular arrhythmia (0%, 95% CI 0 to 1.0%).

Conclusion Patients admitted to coronary care units for investigation and treatment of possible acute coronary syndrome with a non-ischaemic ECG have a very low rate of serious ventricular arrhythmia.

  • CCU
  • chest pain
  • ventricular arrhythmia
  • acute coronary syndrome
  • tachycardias

Statistics from Altmetric.com

Footnotes

  • Funding Emergency Medicine Research Foundation (Australia).

  • Competing interests None.

  • Ethics approval Ethics approval was provided by the Western Health Low Risk Ethics Panel.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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