Emergency Physicians Good at Spotting an Emerging MI

From MedPage Today:

Emergency department physicians are fairly accurate when it comes to detecting evolving myocardial infarctions even when cardiac markers are not initially elevated, researchers said.

Emergency physicians’ initial impression was MI, unstable angina, or high-risk chest pain as often for patients presenting with an evolving heart attack as for those with STEMI (76% versus 71%), Chadwick Miller, M.D., of Wake Forest University here, and colleagues reported online in the Emergency Medicine Journal.

These findings from an observational registry study support current practice patterns and continued use of clinical information together with cardiac markers when performing risk assessment, they said.

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