Identification of myocardial injury in the emergency setting.
Within the past decade, the use of biomarkers to detect myocardial injury in the emergency department (ED) has been given increasing prominence as evident by the numerous studies and guidelines documenting their use. This review details the scope of the clinical problem, the history of changes in the definition of myocardial infarction (MI) and the new approaches, as well as suggestions for using laboratory biomarkers in the early detection of MI in the ED.
Kavsak
Peter A
PA
Department of Pathology and Molecular Medicine, McMaster University, Hamilton, ON, Canada. kavsakp@sympatico.ca
Worster
Andrew
A
You
John J
JJ
Oremus
Mark
M
Elsharif
Adell
A
Hill
Stephen A
SA
Devereaux
P J
PJ
MacRae
Andrew R
AR
Jaffe
Allan S
AS
D003935:Diagnostic Techniques, Cardiovascular / Q000592:standards / Q000639:trends; D042241:Early Diagnosis; D004636:Emergency Service, Hospital / Q000592:standards; D006335:Heart Injuries / Q000175:diagnosis* / Q000517:prevention & control; D006801:Humans; D009203:Myocardial Infarction / Q000175:diagnosis / Q000517:prevention & control; D009206:Myocardium / Q000473:pathology; D019095:Point-of-Care Systems / Q000592:standards / Q000639:trends; D017410:Practice Guidelines as Topic