Table 1 The physician’s overall suspicion of ACS and the underlying assessments of the ECG, symptoms, and TnT
From: What decides the suspicion of acute coronary syndrome in acute chest pain patients?
Assigned overall suspicion of ACS (%) | |||||
|---|---|---|---|---|---|
Obvious ACS | Suspicion | ||||
Strong | Vague | No | |||
Total | 1.8 | 21.7 | 38.1 | 38.3 | |
ECG | ST elevation, n = 24 | 70.8 | 8.3 | 8.3 | 12.5 |
ST depression, n = 46 | 8.7 | 73.9 | 15.2 | 2.2 | |
T inversion, n = 35 | 0.0 | 74.3 | 20.0 | 5.7 | |
Ischemic ECG, n = 105 | 20.0 | 59.0 | 15.2 | 5.7 | |
Q-waves/LBBB, n = 13 | 0.0 | 38.5 | 38.5 | 23.1 | |
Normal ECG, n = 970 | 0.0 | 16.7 | 40.5 | 42.8 | |
Symptoms | Typical of AMI, n = 147 | 11.6 | 59.2 | 29.3 | 0.0 |
Typical of UA, n = 181 | 1.1 | 80.7 | 16.0 | 2.2 | |
Typical of ACS, n = 328 | 5.8 | 71.0 | 22.0 | 1.2 | |
Not specific for ACS, n = 408 | 0.5 | 3.7 | 80.4 | 15.4 | |
No suspicion of ACS, n = 415 | 0.0 | 0.5 | 9.4 | 90.1 | |
TnT | TnT < 0.05, n = 1073 | 1.2 | 18.3 | 39.5 | 41.0 |
TnT ≥ 0.05, n = 78 | 10.3 | 69.2 | 19.2 | 1.3 | |