Clinical symptoms and vital signs for the diagnosis of patients with acute coronary syndrome (ACS)
Resting chest pain | ECG | Troponin level at 0 h | Troponin change within 1–3 h | Diagnosis |
---|---|---|---|---|
+ | Normal | –/+ | –/+ | UA |
++ | No ST-elevation | + | ++ | NSTEMI |
+++ | ST-elevation | ++ | +++ | STEMI |
UA: unstable angina; NSTEMI: myocardial infarction without ST-segment elevation; STEMI acute myocardial infarction with ST-segment elevation on ECG