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Article: Cardiac enzymes and markers: How useful are they in acute MI?
- Article from:
- Internal Medicine
- Article date:
- December 1, 1999
- Author:
CopyrightCOPYRIGHT 1999 A Thomson Healthcare Company. All rights reserved. Information is intended for End Users' personal use only and may not be sold, redistributed, or otherwise used for commercial purposes. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan. All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)
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Your patient is complaining of chest pain but has a normal ECG. Which cardiac enzymes and biochemical markers will help you evaluate this patient?
One of the most difficult challenges internists and emergency physicians face is working up the complaint of chest pain. Approximately 7% to 12% of patients with an acute myocardial infarction (AMI) are sent home from the emergency department misdiagnosed. [1] This has led to many lawsuits against physicians and hospitals. Also, because of the risk of misdiagnosis, primary care physicians are more likely to admit most patients with chest pain (even those with a low probability for heart disease) for 24 hours to rule ...