1. Clinical Policy: Critical Issues in the Evaluation and Management of Adult Patients with Non–ST-Segment Elevation Acute Coronary Syndromes 
Francis M. Fesmire, MD (Subcommittee Chair), Wyatt W. Decker, MD, Deborah B. Diercks, MD, Chris A. Ghaemmaghami, MD, Devorah Nazarian, MD, William J. Brady, MD, Sigrid Hahn, MD, Andy S. Jagoda, MD (Clinical Policies Committee Chair) 
Annals of Emergency Medicine 
Volume 48, Issue 3, Pages (September 2006)
DOI: /j.annemergmed
Copyright © 2006 American College of Emergency Physicians Terms and Conditions

2. Figure 1 WHO diagnostic criteria for acute myocardial infarction.
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Copyright © 2006 American College of Emergency Physicians Terms and Conditions

3. Figure 2 ESC/ACC diagnostic criteria for acute myocardial infarction.
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4. Figure 3
Timing of release of common cardiac markers of necrosis. Peaks A, B, and C respectively demonstrate release of myoglobin, troponin, and CK-MB in acute myocardial infarction as defined by WHO diagnostic criteria. Peak D demonstrates troponin release in troponin positive/CK-MB negative acute coronary syndrome now defined as acute myocardial infarction by ESC/ACC diagnostic criteria.
Modified from Wu AHB, Apple FS, Gibler WB, et al. National Academy of Clinical Biochemistry Standards of Laboratory Practice: recommendations for the use of cardiac markers in coronary artery disease. Clin Chem. 1999;45: Reprinted with permission.
Annals of Emergency Medicine  , DOI: ( /j.annemergmed )
Copyright © 2006 American College of Emergency Physicians Terms and Conditions