Table 2 Combinations of assessments of ECG findings, symptoms and TnT for cases with any suspicion of ACS
From: What decides the suspicion of acute coronary syndrome in acute chest pain patients?
Assessments | Isolated assessments | Combinations of assessments | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|
Ischemic ECG (ST elev or ST depr or T inv) | Symptoms typical of ACS (AMI or UA) | TnT+ | Only ischemic ECG | Only symptoms typical of ACS | Only TnT+ | Ischemic ECG + symptoms typical of ACS | Ischemic ECG + TnT+ | Symptoms typical of ACS + TnT+ | All 3 | |
All patients, % | 10.1 | 28.5 | 6.8 | 0.4 | 16.9 | 0.0 | 6.8 | 2.7 | 5.4 | 2.1 |
Obvious ACS, n = 21 | 100 | 90.5 | 38.1 | 0.0 | 0.0 | 0.0 | 90.5 | 38.1 | 33.3 | 33.3 |
Strong suspicion, n = 250 | 26.8 | 93.2 | 21.6 | 0.0 | 51.6 | 0.0 | 22.4 | 7.6 | 20.4 | 6.8 |
Vague suspicion, n = 439 | 4.6 | 16.4 | 3.4 | 0.5 | 14.1 | 0.0 | 0.7 | 0.9 | 0.9 | 0.0 |