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Harry P. Selker

Researcher at Tufts University

Publications -  253
Citations -  15439

Harry P. Selker is an academic researcher from Tufts University. The author has contributed to research in topics: Myocardial infarction & Emergency department. The author has an hindex of 55, co-authored 244 publications receiving 14412 citations. Previous affiliations of Harry P. Selker include Floating Hospital for Children & University of Miami.

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Missed Diagnoses of Acute Cardiac Ischemia in the Emergency Department

TL;DR: Clinical data from a multicenter, prospective clinical trial of all patients with chest pain or other symptoms suggesting acute cardiac ischemia who presented to the emergency departments of 10 U.S. hospitals found that 19 patients with acute myocardial infarction were mistakenly discharged from the emergency department.
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Comparison of the Atkins, Ornish, Weight Watchers, and Zone diets for weight loss and heart disease risk reduction: a randomized trial.

TL;DR: Overall dietary adherence rates were low, although increased adherence was associated with greater weight loss and cardiac risk factor reductions for each diet group, and each popular diet modestly reduced body weight and several cardiac risk factors at 1 year.
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Missed Diagnoses of Acute Cardiac Ischemia in the Emergency Department

TL;DR: The percentage of patients who present to the emergency department with acute myocardial infarction or unstable angina who are not hospitalized is low, but the discharge of such patients is associated with increased mortality.
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A predictive instrument to improve coronary-care-unit admission practices in acute ischemic heart disease. A prospective multicenter clinical trial.

TL;DR: A predictive instrument for use in a hand-held programmable calculator, which requires only 20 seconds to compute a patient's probability of having acute cardiac ischemia, could reduce the number of CCU admissions in this country by more than 250,000 per year.
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Missed diagnoses of acute myocardial infarction in the emergency department: Results from a multicenter study

TL;DR: The rate of missed acute myocardial infarction in the emergency department was only 1.9%, but death or potentially lethal complications occurred in 25% of missed AMI patients, and another 25% might have been prevented had patients who were recognized to have ischemic heart disease by the physician in the ED been admitted.