Open Access6.1.3.1 Biochemical Markers for Myocardial Infarction Used in Combination with Clinical Decision Limits. Influence of S-Myoglobin on the Predictive Values
Author(s) -
Birger R. Møller,
Arne Hamfelt
Publication year - 1993
Publication title -
upsala journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.808
H-Index - 41
eISSN - 2000-1967
pISSN - 0300-9734
DOI - 10.3109/03009739309179334
Subject(s) - medicine , myocardial infarction , myoglobin , chest pain , predictive value , cardiology , myocardial infarction diagnosis , intensive care medicine , chemistry , organic chemistry
To predict the development of an acute myocardial infarction (AMI) in a patient with chest pain or other symptoms compatible with myocardial infarction is a difficult clinical problem. In this study of 927 consecutive patients with a suspected AMI symptoms selected by the Multicenter Chest Pain Study Group were tested. An equation was constructed based on five of the most significant variables found. In a subgroup of 305 patients the additional value of S-Myoglobin was tested and found to be valuable for the decision of further handling of the patient with suspected AMI.