Research Article
Can We Exclude the Diagnosis of Non-ST Segment Myocardial Infarction on the Basis of a Single Troponin I and a Symptom Duration ≥8 Hours?
Table 4
Selected details of 25 patients with an initial troponin value <0.6 ng/mL, any subsequent troponin value ≥0.6 ng/mL, and ≥8 hours of symptoms.
| | Age gender | Chief complaint | Duration of symptoms | Initial troponin ng/mL | Peak troponin ng/mL | ECG diagnostic | Diagnosis primary, secondary |
| | 61 F | SOB | 2 weeks | <0.06 | 0.74 | No | Asthma exacerbation | | 69 M | SOB | 3 days | <0.06 | 0.9 | No | Pleural effusion | | 75 F | Chest Pain | 1 day | <0.06 | 6.49 | No | ACS-NSTEMI, pneumonia | | 49 M | Rib Pain | 2 weeks | <0.06 | 1.92 | No | Pneumonia, cocaine abuse, and atrial Fibrillation | | 22 M | Abdominal Pain | 1 week | 0.06 | 0.79 | No | Hypertensive emergency, renal failure, and cocaine abuse | | 82 F | SOB | 3 days | 0.06 | 2.38 | Yes (LBBB) | ACS-NSTEMI, CHF exacerbation | | 81 M | “feeling lousy” | 10 hours | 0.06 | 8.24 | Yes (STD) | Bacteremia, pneumonia, and ACS-NSTEMI | | 73 F | SOB | 1 day | 0.08 | 0.87 | No | CHF exacerbation and ESRD | | 70 F | Abdominal Pain | 3 days | 0.14 | 1.64 | No | Acute cholecystitis | | 60 M | SOB | 3 days | 0.17 | 1.34 | No | CHF exacerbation and Pneumonia | | 38 M | Chest Pain | 2 days | 0.17 | 2.32 | No | ACS-NSTEMI | | 38 F | SOB | 1 day | 0.19 | 1.47 | No | CHF exacerbation and cocaine abuse | | 74 M | Chest Pain | 10 hours | 0.22 | 1.24 | Yes (STE) | ACS-NSTEMI | | 64 F | Chest Pain | 12 hours | 0.22 | 16.39 | Yes (LBBB) | ACS-NSTEMI | | 48 M | Chest Pain | 8.5 hours | 0.24 | 3.99 | No | ACS-NSTEMI | | 60 M | Chest Pain | 4 days | 0.25 | 3.30 | No | Gastrointestinal bleed | | 54 M | SOB | 1 day | 0.31 | 0.89 | No | Pulmonary embolism and cocaine abuse | | 70 F | SOB | 1 week | 0.31 | 0.7 | Yes (LBBB) | CHF exacerbation | | 73 F | SOB | 18 hours | 0.35 | 1.13 | No | Pulmonary embolism | | 50 M | SOB | 2 weeks | 0.43 | 0.76 | No | CHF exacerbation, cocaine abuse, emphysema | | 75 F | Chest Pain | 1 day | 0.45 | 0.91 | No | ACS-NSTEMI | | 67 F | Chest Pain | 4 days | 0.48 | 1.12 | No | ACS-NSTEMI | | 64 M | Chest Pain | 2 days | 0.48 | 3.56 | No | ACS-NSTEMI | | 49 F | Found Down | 22 hours | 0.56 | 0.94 | No | Mechanical fall, closed head injury | | 83 F | SOB | 2 days | 0.58 | 0.66 | No | Pneumonia |
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ACS: acute coronary syndrome, NSTEMI: non-ST segment elevation myocardial infarction, CHF: congestive heart failure.
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