Key factors in the identification of the high-risk patient with unstable coronary artery disease: clinical findings, resting 12-lead electrocardiogram, and continuous electrocardiographic monitoring.
This article reviews a range of methods for identifying high-risk patients with unstable coronary artery disease, including clinical evaluation, the resting 12-lead electrocardiogram, continuous vectorcardiography, and a combined risk evaluation using continuous vectorcardiography and measurement of troponin-T. Clinical evaluation is not very accurate for identifying high-risk patients and modern techniques have not been fully validated in clinical trials. The combination of continuous vectorcardiography and biochemical monitoring is a very powerful method of identifying both very high- and very low-risk patients and may be increasingly used in the future.
Dellborg
M
M
Ostra University Hospital, Gothenburg, Sweden.
Andersen
K
K
D015415:Biomarkers / Q000097:blood; D003327:Coronary Disease / Q000145:classification / Q000175:diagnosis* / Q000453:epidemiology; D004562:Electrocardiography; D006801:Humans; D008991:Monitoring, Physiologic; D018570:Risk Assessment; D014336:Troponin / Q000097:blood; D020107:Troponin T; D014672:Vectorcardiography
D015415:Biomarkers; D014336:Troponin; D020107:Troponin T