Cardiovascular

Acute Cardiac Ischemia

September 2000

Clinical Focus*

• Pre-hospital 12-lead electrocardiography.
• Emergency department electrocardiography.
  • Continuous 12-lead ECG.
  • Nonstandard ECG leads.
  • Rest, exercise, or stress ECG assessments.
• The acute cardiac ischemia time-insensitive predictive instrument.
• The Goldman chest pain protocol.
• Biochemical markers.
  • Creatine kinase, single and serial measurements.
  • Creatine kinase subunit, single and serial measurements.
  • Troponin T.
  • Troponin I.
  • P-selectin.
  • Fatty acid binding protein.
  • Myoglobin.
• Myocardial perfusion imaging technologies.
  • Echocardiography (rest, exercise, stress assessment).
  • Sestamibi imaging (rest, exercise, stress assessment).
• Other computer-based decision aids.

*Addressed in the summary or evidence report.

Evaluation of Technologies for Identification of Acute Cardiac Ischemia in the Emergency Department
Summary (Publication No. 00-E031, September 2000)
Evidence Report (Publication No. 01-E006, May 2001)
(File Download)
Selected Publications

EPC: New England Medical Center
Topic Nominator: National Heart, Lung, and Blood Institute

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