Göğüs ağrısında düşük riskli hastaları erken taburculuk için belirler.
Öykü
EKG
1 point: No ST depression but LBBB, LVH, repolarization changes (ex: digoxin); 2 points: ST depression/elevation not due to LBBB, LVH, or digoxin
Yaş
Risk faktörleri
Risk factors: HTN, hypercholesterolemia, DM, obesity (BMI >30 kg/m 2 ), smoking (current, or smoking cessation ≤3 mo), positive family history (parent or sibling with CVD before age 65); atherosclerotic disease: prior MI, PCI/CABG, CVA/TIA, or peripheral arterial disease
İlk troponin
Use local assays and corresponding cutoffs
Sonuç
Parametreleri doldurup "Hesapla" butonuna basın.
Low (0.9-1.7% 30-day MACE) | If no new ischemic ECG changes or history of CAD, repeat troponin at 3 hours and if negative, discharge home with outpatient follow-up.
High (12-65% 30-day MACE) | Admit to hospital or observation. Further testing indicated.
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