Acute coronary syndromes: diagnosis

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Acute coronary syndromes: diagnosis Dr Peter Klootwijk, MD, Christian Hamm, MD The Lancet Volume 353, Pages s10-s15 (June 1999) DOI: 10.1016/S0140-6736(99)90235-0 Copyright © 1999 Elsevier Ltd Terms and Conditions

Figure 1 Distribution and type of ECG changes that may be encountered in admission ECG of patients admitted with either suspected (left pie) or definite ACS (right pie) AMI=acute myocardial infarction; LBBB=left bundle branch block. Data in left pie from Namm and colleagues.2 Data in right pie from NMI IIIB investigators.13 The Lancet 1999 353, s10-s15DOI: (10.1016/S0140-6736(99)90235-0) Copyright © 1999 Elsevier Ltd Terms and Conditions

Figure 2 Cumulative risk and time of myocardial infarction or death during 1 year of follow-up with regard to different types of ST-T segment changes in ECG in 911 patients with suspected ACS Data from Nyman and colleagues.8 The Lancet 1999 353, s10-s15DOI: (10.1016/S0140-6736(99)90235-0) Copyright © 1999 Elsevier Ltd Terms and Conditions

Figure 3 Predictive value of troponin rapid testing Survival without myocardial infarction during 30 days of follow-up with respect to troponin T (TnT) and troponin I (Tnl) status 4 h after arrival. Events during initial 24 h after arrival excluded. Modified and reprinted with permission from Hamm and colleagues.2 The Lancet 1999 353, s10-s15DOI: (10.1016/S0140-6736(99)90235-0) Copyright © 1999 Elsevier Ltd Terms and Conditions

Figure 4 Emergency department protocol for chest pain The Lancet 1999 353, s10-s15DOI: (10.1016/S0140-6736(99)90235-0) Copyright © 1999 Elsevier Ltd Terms and Conditions