Effectiveness to identify acute myocardial infarction using the Manchester screening in patients with chest pain at the emergency service

Background Among cardiovascular diseases (CVD), acute coronary syndrome (ACS) is the main manifestation, corresponding to signs and symptoms that occur with ischemia and outcome of angina or acute myocardial infarction (AMI). The aim of this study was to investigate the performance of biochemical ma...

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Bibliographic Details
Published in:Journal of clinical laboratory analysis 2018-07, Vol.32 (6), p.e22439-n/a
Main Authors: Gonçalves, Simone M., Gomes, Karina B., Carvalho, Maria das G., Magalhães, Henrique P. B., Reis, Edna A., Silva, Iêda de Fátima O.
Format: Article
Language:English
Subjects:
Acute coronary syndromes
acute myocardial infarction
Angina
Biochemical markers
Brief Report
Calcium-binding protein
cardiac troponin I
Cardiovascular diseases
Chest
Creatine
Creatine kinase
creatine kinase MB mass
EKG
Electrocardiography
Emergency medical care
Heart
Heart attacks
Ischemia
Manchester Triage System
Medical records
Myocardial infarction
myoglobin
Myoglobins
Pain
Troponin
Troponin I
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Summary:Background Among cardiovascular diseases (CVD), acute coronary syndrome (ACS) is the main manifestation, corresponding to signs and symptoms that occur with ischemia and outcome of angina or acute myocardial infarction (AMI). The aim of this study was to investigate the performance of biochemical markers eligible in a chest pain protocol, using Point of care Test (POCT), in patients in a reference emergency room. Methods In this study, 1380 medical records of patients of both genders were evaluated, ranked by applying chest pain protocol using the Manchester Triage System (MTS). Markers for myocardial injury were measured in serial analysis including myoglobin (Mgb), creatine kinase MB fraction mass (CK‐MB), and cardiac troponin I (cTnI). Results Acute myocardial infarction was predominant in males (P 
ISSN:0887-8013
1098-2825
DOI:10.1002/jcla.22439