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Acute coronary syndromes: diagnosis

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Presentation on theme: "Acute coronary syndromes: diagnosis"— Presentation transcript:

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

2 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  , s10-s15DOI: ( /S (99) ) Copyright © 1999 Elsevier Ltd Terms and Conditions

3 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  , s10-s15DOI: ( /S (99) ) Copyright © 1999 Elsevier Ltd Terms and Conditions

4 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  , s10-s15DOI: ( /S (99) ) Copyright © 1999 Elsevier Ltd Terms and Conditions

5 Figure 4 Emergency department protocol for chest pain
The Lancet  , s10-s15DOI: ( /S (99) ) Copyright © 1999 Elsevier Ltd Terms and Conditions


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