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Hellström Ängerud, KarinORCID iD iconorcid.org/0000-0002-7918-6121
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Hellström Ängerud, K., Sederholm Lawesson, S., Isaksson, R.-M., Thylén, I., Swahn, E. & SymTime study group, . (2019). Differences in symptoms, first medical contact and pre-hospital delay times between patients with ST- and non-ST-elevation myocardial infarction. European heart journal. Acute cardiovascular care., 8(3), 201-207
Öppna denna publikation i ny flik eller fönster >>Differences in symptoms, first medical contact and pre-hospital delay times between patients with ST- and non-ST-elevation myocardial infarction
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2019 (Engelska)Ingår i: European heart journal. Acute cardiovascular care., ISSN 2048-8726, Vol. 8, nr 3, s. 201-207Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Aim: In ST-elevation myocardial infarction, time to reperfusion is crucial for the prognosis. Symptom presentation in myocardial infarction influences pre-hospital delay times but studies about differences in symptoms between patients with ST-elevation myocardial infarction and non-ST-elevation myocardial infarction are sparse and inconclusive. The aim was to compare symptoms, first medical contact and pre-hospital delay times in patients with ST-elevation myocardial infarction and non-ST-elevation myocardial infarction.

Methods and results: This multicentre, observational study included 694 myocardial infarction patients from five hospitals. The patients filled in a questionnaire about their pre-hospital experiences within 24 h of hospital admittance. Chest pain was the most common symptom in ST-elevation myocardial infarction and non-ST-elevation myocardial infarction (88.7 vs 87.0%, p=0.56). Patients with cold sweat (odds ratio 3.61, 95% confidence interval 2.29–5.70), jaw pain (odds ratio 2.41, 95% confidence interval 1.04–5.58), and nausea (odds ratio 1.70, 95% confidence interval 1.01–2.87) were more likely to present with ST-elevation myocardial infarction, whereas the opposite was true for symptoms that come and go (odds ratio 0.58, 95% confidence interval 0.38-0.90) or anxiety (odds ratio 0.52, 95% confidence interval 0.29–0.92). Use of emergency medical services was higher among patients admitted with ST-elevation myocardial infarction. The pre-hospital delay time from symptom onset to first medical contact was significantly longer in non-ST-elevation myocardial infarction (2:05 h vs 1:10 h, p=0.001).

Conclusion: Patients with ST-elevation myocardial infarction differed from those with non-ST-elevation myocardial infarction regarding symptom presentation, ambulance utilisation and pre-hospital delay times. This knowledge is important to be aware of for all healthcare personnel and the general public especially in order to recognise symptoms suggestive of ST-elevation myocardial infarction and when to decide if there is a need for an ambulance.

Ort, förlag, år, upplaga, sidor
Sage Publications, 2019
Nyckelord
Myocardial infarction, symptoms, care seeking, prehospital delay, ST-elevation myocardial infarction, non-ST-elevation myocardial infarction, first medical contact
Nationell ämneskategori
Kardiologi Omvårdnad
Identifikatorer
urn:nbn:se:umu:diva-142366 (URN)10.1177/2048872617741734 (DOI)000464034100002 ()
Tillgänglig från: 2017-11-28 Skapad: 2017-11-28 Senast uppdaterad: 2019-05-16Bibliografiskt granskad
Ericsson, M., Ängerud, K. H., Brännström, M., Lawesson, S. S., Strömberg, A. & Thylén, I. (2019). Interaction between tele-nurses and callers with an evolving myocardial infarction: consequences for level of directed care. European Journal of Cardiovascular Nursing, 18(7), 545-553
Öppna denna publikation i ny flik eller fönster >>Interaction between tele-nurses and callers with an evolving myocardial infarction: consequences for level of directed care
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2019 (Engelska)Ingår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 18, nr 7, s. 545-553Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: Rapid contact with emergency medical services is imperative to save the lives of acute myocardial infarction patients. However, many patients turn to a telehealth advisory nurse instead, where the delivery of urgent and safe care largely depends on how the interaction in the call is established.

Purpose: The purpose of this study was to explore the interaction between tele-nurses and callers with an evolving myocardial infarction after contacting a national telehealth advisory service number as their first medical contact.

Method: Twenty men and 10 women (aged 46–89 years) were included. Authentic calls were analysed using inductive content analysis.

Findings: One overall category, Movement towards directed level of care, labelled the whole interaction between the tele-nurse and the caller. Four categories conceptualised the different interactions: a distinct, reasoning, indecisive or irrational interaction. The interactions described how tele-nurses and callers assessed and elaborated on symptoms, context and actions. The interaction was pivotal for progress in the dialogue and affected the achievement of mutual understanding in the communicative process. An indecisive or irrational interaction could increase the risk of failing to recommend or call for acute care.

Conclusion: The interaction in the communication could either lead or mislead the level of care directed in the call. This study adds new perspectives to the communicative process in the acute setting in order to identify a myocardial infarction and the level of urgency from both individuals experiencing myocardial infarction and professionals in the health system.

Ort, förlag, år, upplaga, sidor
Sage Publications, 2019
Nyckelord
Pre-hospital care-seeking, interaction, level of care, myocardial infarction, tele-nursing
Nationell ämneskategori
Omvårdnad Kardiologi
Identifikatorer
urn:nbn:se:umu:diva-158815 (URN)10.1177/1474515119848195 (DOI)000487801400004 ()31067981 (PubMedID)
Tillgänglig från: 2019-05-09 Skapad: 2019-05-09 Senast uppdaterad: 2019-10-16Bibliografiskt granskad
Simonsson, M., Wallentin, L., Alfredsson, J., Erlinge, D., Hellström Ängerud, K., Hofmann, R., . . . Jernberg, T. (2019). Temporal trends in bleeding events in acute myocardial infarction: insights from the SWEDEHEART registry.. European Heart Journal, Article ID ehz593.
Öppna denna publikation i ny flik eller fönster >>Temporal trends in bleeding events in acute myocardial infarction: insights from the SWEDEHEART registry.
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2019 (Engelska)Ingår i: European Heart Journal, ISSN 0195-668X, E-ISSN 1522-9645, artikel-id ehz593Artikel i tidskrift (Refereegranskat) Epub ahead of print
Abstract [en]

AIMS: To describe the time trends of in-hospital and out-of-hospital bleeding parallel to the development of new treatments and ischaemic outcomes over the last 20 years in a nationwide myocardial infarction (MI) population.

METHODS AND RESULTS: Patients with acute MI (n = 371 431) enrolled in the SWEDEHEART registry from 1995 until May 2018 were selected and evaluated for in-hospital bleeding and out-of-hospital bleeding events at 1 year. In-hospital bleeding increased from 0.5% to a peak at 2% 2005/2006 and thereafter slightly decreased to a new plateau around 1.3% by the end of the study period. Out-of-hospital bleeding increased in a stepwise fashion from 2.5% to 3.5 % in the middle of the study period and to 4.8% at the end of the study period. The increase in both in-hospital and out-of-hospital bleeding was parallel to increasing use of invasive strategy and adjunctive antithrombotic treatment, dual antiplatelet therapy (DAPT), and potent DAPT, while the decrease in in-hospital bleeding from 2007 to 2010 was parallel to implementation of bleeding avoidance strategies. In-hospital re-infarction decreased from 2.8% to 0.6% and out-of-hospital MI decreased from 12.6% to 7.1%. The composite out-of-hospital MI, cardiovascular death, and stroke decreased in a similar fashion from 18.4% to 9.1%.

CONCLUSION: During the last 20 years, the introduction of invasive and more intense antithrombotic treatment has been associated with an increase in bleeding events but concomitant there has been a substantial greater reduction of ischaemic events including improved survival.

Nyckelord
Acute myocardial infarction, Bleeding, Registry, Temporal trends
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:umu:diva-165227 (URN)10.1093/eurheartj/ehz593 (DOI)31504404 (PubMedID)
Tillgänglig från: 2019-11-15 Skapad: 2019-11-15 Senast uppdaterad: 2019-11-15
Hellström Ängerud, K., Boman, K. & Brännström, M. (2018). Areas for quality improvements in heart failure care: quality of care from the family members' perspective. Scandinavian Journal of Caring Sciences, 32(1), 346-353
Öppna denna publikation i ny flik eller fönster >>Areas for quality improvements in heart failure care: quality of care from the family members' perspective
2018 (Engelska)Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 32, nr 1, s. 346-353Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

BACKGROUND: The complex needs of people with chronic heart failure (HF) place great demands on their family members, and it is important to ask family members about their perspectives on the quality of HF care.

OBJECTIVE: To describe family members' perceptions of quality of HF care in an outpatient setting.

METHODS: A cross-sectional study using a short form of the Quality from Patients' Perspective (QPP) questionnaire for data collection. The items in the questionnaire measure four dimensions of quality, and each item consists of both the perceived reality of the care and its subjective importance. The study included 57 family members of patients with severe HF in NYHA class III-IV.

RESULTS: Family members reported areas for quality improvements in three out of four dimensions and in dimensionless items. The lowest level of perceived reality was reported for treatment for confusion and loss of appetite. Treatment for shortness of breath, access to the apparatus and access to equipment necessary for medical care were the items with the highest subjective importance for the family members.

CONCLUSION: Family members identified important areas for quality improvement in the care for patients with HF in an outpatient setting. In particular, symptom alleviation, information to patients, patient participation and access to care were identified as areas for improvements. Thus, measuring quality from the family members' perspective with the QPP might be a useful additional perspective when it comes to the planning and implementation of changes in the organisation of HF care.

Ort, förlag, år, upplaga, sidor
Hoboken: John Wiley & Sons, 2018
Nyckelord
heart failure, Quality from patients' Perspective questionnaire, family members' perspective, quality of care
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:umu:diva-139041 (URN)10.1111/scs.12468 (DOI)000426524200035 ()28543624 (PubMedID)
Tillgänglig från: 2017-09-05 Skapad: 2017-09-05 Senast uppdaterad: 2018-06-09Bibliografiskt granskad
Ericsson, M., Hellström Ängerud, K., Sederholm Lawesson, S., Swahn, E., Stromberg, A., Isaksson, R. M. & Brännström, M. (2018). First medical contact in the pre-hospital phase of a myocardial infarction, the interaction between callers and tele-nurses impacts action and level of care. Paper presented at European-Society-of-Cardiology Congress, AUG 25-29, 2018, Munich, GERMANY. European Heart Journal, 39, 1120-1120
Öppna denna publikation i ny flik eller fönster >>First medical contact in the pre-hospital phase of a myocardial infarction, the interaction between callers and tele-nurses impacts action and level of care
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2018 (Engelska)Ingår i: European Heart Journal, ISSN 0195-668X, E-ISSN 1522-9645, Vol. 39, s. 1120-1120Artikel i tidskrift, Meeting abstract (Övrigt vetenskapligt) Published
Abstract [en]

Background: Pre-hospital delay in myocardial infarction (MI) patients' is of great concern. The total ischemic time, i.e., between symptom onset and reperfusion therapy is the most important factor to achieve best possible outcome. One reason for patient delay is choice of first medical Contact (FMC), still not everyone contact the emergency medical services. A previous Swedish cross-sectional multicentre study found that every fifth patient with an evolving ST elevated MI (STEMI) contacted an advisement tele-nurse intended for non-life-threatening situations as FMC. This caused a median difference in delay of 38 min from symptom onset to diagnosis. Advisement tele-nursing is an expanding actor in the Swedish healthcare system, as in some other Western nations.

Purpose: The aim was to explore the communication between tele-nurses and callers when MI patients called a national health advisement number as FMC.

Method: This study had a qualitative approach. We received access to 30 authentic calls. The recordings lasted between 0:39 minutes to 16:44 minutes, transcribed verbatim and analysed with content analysis. The following questions were applied to the transcript: (1) How do the callers communicate their symptom and context (2) How do the tele-nurses respond and which level of care was directed (3) Do the callers get an advice and what action do they take.

Result: One third of the callers were female, aged 46–89 years, six were diagnosed with NSTEMI and 24 with STEMI. All tele-nurses were females. The calls followed a structure of three phases, opening-, orienting- and end-phase. The first phase was non-interfered, where the caller communicated their context and/or symptoms and tele-nurses adopt an active listening position, followed by two interactive phases. Four categories defined the interaction in the communication, indecisive, irrational, distinct or reasoning. The different interactions illustrated how tele-nurses and callers assessed and elaborated upon symptom, context and furthermore expressed the process in the dialogue. Type of interaction was pivotal for progress in the call and had impact on the communicative process either sufficient in reaching a mutual understanding or not. An indecisive or irrational interaction could increase risk of acute care not being recommended. A non explicit explanation, why it is of importance to seek acute care could lead caller to ignore the advice.

Conclusion: Both communicative and medical skills are needed to identify level of urgency. Our study suggests that the interaction in the communication categorised in four types, indecisive, irrational or distinct or reasoning can mislead level of care directed as well as a disability to express the need of acute care. This knowledge adds new perspective and hopefully will our findings be useful to deepen our knowledge in identifying MI patients and in a broader sense improve educational efforts and diminsh delay.

Ort, förlag, år, upplaga, sidor
Oxford University Press, 2018
Nationell ämneskategori
Kardiologi Omvårdnad
Identifikatorer
urn:nbn:se:umu:diva-157616 (URN)10.1093/eurheartj/ehy566.P5432 (DOI)000459824003523 ()
Konferens
European-Society-of-Cardiology Congress, AUG 25-29, 2018, Munich, GERMANY
Anmärkning

Supplement: 1

Meeting Abstract: P5432

Tillgänglig från: 2019-03-26 Skapad: 2019-03-26 Senast uppdaterad: 2019-03-26Bibliografiskt granskad
Sederholm Lawesson, S., Isaksson, R.-M., Thylén, I., Ericsson, M., Ängerud, K. H. & Swahn, E. (2018). Gender differences in symptom presentation of ST-elevation myocardial infarction: an observational multicenter survey study. International Journal of Cardiology, 264, 7-11
Öppna denna publikation i ny flik eller fönster >>Gender differences in symptom presentation of ST-elevation myocardial infarction: an observational multicenter survey study
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2018 (Engelska)Ingår i: International Journal of Cardiology, ISSN 0167-5273, E-ISSN 1874-1754, Vol. 264, s. 7-11Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

BACKGROUND: Symptom presentation has been sparsely studied from a gender perspective restricting the inclusion to ST elevation myocardial infarction (STEMI) patients. Correct symptom recognition is vital in order to promptly seek care in STEMI where fast reperfusion therapy is of utmost importance. Female gender has been found associated with atypical presentation in studies on mixed MI populations but it is unclear whether this is valid also in STEMI.

OBJECTIVES: We assessed whether there are gender differences in symptoms and interpretation of these in STEMI, and if this is attributable to sociodemographic and clinical factors.

METHODS: SymTime was a multicenter observational study including a validated questionnaire and data from medical records. Eligible STEMI patients (n = 532) were enrolled within 24 h after admittance at five Swedish hospitals.

RESULTS: Women were older, more often single and had lower educational level. Chest pain was less prevalent in women (74 vs 93%, p < 0.001), whereas shoulder (33 vs 15%, p < 0.001), throat/neck (34 vs 18%, p < 0.001), back pain (29 versus 12%, p < 0.001) and nausea (49 vs 29%, p < 0.001) were more prevalent. Women less often interpreted their symptoms as of cardiac origin (60 vs 69%, p = 0.04). Female gender was the strongest independent predictor of non-chest pain presentation, odds ratio 5.29, 95% confidence interval 2.85-9.80.

CONCLUSIONS: A striking gender difference in STEMI symptoms was found. As women significantly misinterpreted their symptoms more often, it is vital when informing about MI to the society or to high risk individuals, to highlight also other symptoms than just chest pain.

Ort, förlag, år, upplaga, sidor
Elsevier, 2018
Nyckelord
Chest pain, Clinical presentation, Gender, ST-elevation myocardial infarction, Symptoms
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:umu:diva-146865 (URN)10.1016/j.ijcard.2018.03.084 (DOI)000432918500002 ()29642997 (PubMedID)
Tillgänglig från: 2018-04-20 Skapad: 2018-04-20 Senast uppdaterad: 2018-06-27Bibliografiskt granskad
Sederholm Lawesson, S., Isaksson, R.-M., Ericsson, M., Ängerud, K. & Thylén, I. (2018). Gender disparities in first medical contact and delay in ST-elevation myocardial infarction: a prospective multicentre Swedish survey study. BMJ Open, 8(5), Article ID e020211.
Öppna denna publikation i ny flik eller fönster >>Gender disparities in first medical contact and delay in ST-elevation myocardial infarction: a prospective multicentre Swedish survey study
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2018 (Engelska)Ingår i: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 8, nr 5, artikel-id e020211Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

OBJECTIVES: Compare gender disparities in ST-elevation myocardial infarction (STEMI) regarding first medical contact (FMC) and prehospital delay times and explore factors associated with prehospital delay in men and women separately.

DESIGN: Cross-sectional study based on medical records and a validated questionnaire. Eligible patients were enrolled within 24 hours after admittance to hospital.

SETTING: Patients were included from November 2012 to January 2014 from five Swedish hospitals with catheterisation facilities 24/7.

PARTICIPANTS: 340 men and 109 women aged between 31 and 95 years completed the survey.

MAIN OUTCOME MEASURES: FMC were divided into five possible contacts: primary healthcare centre by phone or directly, national advisory nurse by phone, emergency medical services (EMS) and emergency room directly. Two parts of prehospital delay times were studied: time from symptom onset to FMC and time from symptom onset to diagnostic ECG.

RESULTS: Women more often called an advisory nurse as FMC (28% vs 18%, p=0.02). They had a longer delay until FMC, 90 (IQR 39-221) vs 66 (28-161) min, p=0.04 and until ECG, 146 (68-316) vs 103 (61-221) min, p=0.03. Men went to hospital because of believing they were stricken by an MI to a higher extent than women did (25% vs 15%, p=0.04) and were more often recommended to call EMS by bystanders (38% vs 22%, p<0.01). Hesitating about going to hospital and experiencing pain in the stomach/back/shoulders were factors associated with longer delays in women. Believing the symptoms would disappear or interpreting them as nothing serious were corresponding factors in men. In both genders bystanders acting by contacting EMS explained shorter prehospital delays.

CONCLUSIONS: In STEMI, women differed from men in FMC and they had longer delays. This was partly due to atypical symptoms and a longer decision time. Bystanders acted more promptly when men than when women fell ill. Public knowledge of MI symptoms, and how to act properly, still seems insufficient.

Nyckelord
adult cardiology, coronary heart disease, ischaemic heart disease, myocardial infarction
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:umu:diva-147908 (URN)10.1136/bmjopen-2017-020211 (DOI)000435567200080 ()29724738 (PubMedID)2-s2.0-85053119007 (Scopus ID)
Tillgänglig från: 2018-05-21 Skapad: 2018-05-21 Senast uppdaterad: 2018-09-21Bibliografiskt granskad
Hellström Ängerud, K., Boman, K., Ekman, I. & Brännström, M. (2017). Areas for quality improvements in heart failure care: quality of care from the patient's perspective. Scandinavian Journal of Caring Sciences, 31(4), 830-838
Öppna denna publikation i ny flik eller fönster >>Areas for quality improvements in heart failure care: quality of care from the patient's perspective
2017 (Engelska)Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 31, nr 4, s. 830-838Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

BACKGROUND: Heart failure is a serious condition with high mortality and a high symptom burden. Most patients with heart failure will be taken care of in primary care but the knowledge of how the quality of care is perceived by patients with heart failure is limited.

OBJECTIVE: The aim was to explore how patients with heart failure report quality of care, in an outpatient setting.

METHODS: Seventy-one patients with a confirmed diagnosis of heart failure and who were cared for in an outpatient setting were included in this cross-sectional study. Quality of care was assessed with a short form of the Quality from the Patient's Perspective questionnaire. The items measured four dimensions, and each item consists of both perceived reality of the received care and its subjective importance.

RESULTS: Inadequate quality was identified in three out of four dimensions and in items without dimension affiliation. In total, inadequate quality was identified in 19 out of 25 items. Patients reported the highest level of perceived reality in 'my family member was treated well' and the lowest perceived reality in 'effective treatment for loss of appetite'. Effective treatment for shortness of breath was of the highest subjective importance for the patients.

CONCLUSION: Important areas for improvement in the quality of care for patients with heart failure in an outpatient setting were identified, such as symptom alleviation, information, participation and access to care.

Ort, förlag, år, upplaga, sidor
Hoboken: John Wiley & Sons, 2017
Nyckelord
heart failure, heart failure care, patient perspective, patient satisfaction, quality of care
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:umu:diva-142365 (URN)10.1111/scs.12404 (DOI)000416413000021 ()27859523 (PubMedID)
Tillgänglig från: 2017-11-28 Skapad: 2017-11-28 Senast uppdaterad: 2018-06-09Bibliografiskt granskad
Talabani, N., Hellström Ängerud, K., Boman, K. & Brännström, M. (2017). Patients' experiences of person-centred integrated heart failure care and palliative care at home: an interview study. BMJ Supportive & Palliative Care
Öppna denna publikation i ny flik eller fönster >>Patients' experiences of person-centred integrated heart failure care and palliative care at home: an interview study
2017 (Engelska)Ingår i: BMJ Supportive & Palliative Care, ISSN 2045-435X, E-ISSN 2045-4368Artikel i tidskrift (Refereegranskat) Epub ahead of print
Abstract [en]

Objectives Patients with severe heart failure (HF) suffer from a high symptom burden and high mortality. European and Swedish guidelines for HF care recommend palliative care for these patients. Different models for integrated palliative care and HF care have been described in the literature. No studies were found that qualitatively evaluated these models. The purpose of this study is to describe patients' experiences of a new model of person-centred integrated HF and palliative care at home.

Method Interviews were conducted with 12 patients with severe HF (New York Heart Association class III–IV) and included in the research project of Palliative advanced home caRE and heart FailurE caRe (PREFER). Qualitative content analysis was used for data analysis.

Results Two themes and a total of five categories were identified. The first theme was feeling secure and safe through receiving care at home with the categories: having access to readily available care at home, being followed up continuously and having trust in the team members' ability to help. The second theme was being acknowledged as both a person and a patient, with the following two categories: being met as a person, participating in decisions about one's care and receiving help for symptoms of both HF and comorbidities.

Conclusions Person-centred integrated HF and palliative care provides a secure environment and holistic care for patients with severe HF. This approach is a way to improve the care management in this population.

Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:umu:diva-138705 (URN)10.1136/bmjspcare-2016-001226 (DOI)28689185 (PubMedID)
Tillgänglig från: 2017-08-28 Skapad: 2017-08-28 Senast uppdaterad: 2019-05-16
Hellström Ängerud, K., Ericsson, M., Isaksson, R. M., Sederholm Lawesson, S., Thylen, I. & Swahn, E. (2016). Differences in symptoms in relation to myocardial infarction type. Paper presented at Congress of the European-Society-of-Cardiology (ESC), AUG 27-31, 2016, Rome, ITALY. European Heart Journal, 37, 730-730
Öppna denna publikation i ny flik eller fönster >>Differences in symptoms in relation to myocardial infarction type
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2016 (Engelska)Ingår i: European Heart Journal, ISSN 0195-668X, E-ISSN 1522-9645, Vol. 37, s. 730-730Artikel i tidskrift, Meeting abstract (Övrigt vetenskapligt) Published
Ort, förlag, år, upplaga, sidor
Oxford University Press, 2016
Nationell ämneskategori
Kardiologi
Identifikatorer
urn:nbn:se:umu:diva-129758 (URN)000383869503427 ()
Konferens
Congress of the European-Society-of-Cardiology (ESC), AUG 27-31, 2016, Rome, ITALY
Anmärkning

Supplement: 1

Meeting Abstract: P3630

Tillgänglig från: 2017-01-10 Skapad: 2017-01-09 Senast uppdaterad: 2018-06-09Bibliografiskt granskad
Organisationer
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0002-7918-6121

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