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Table 1 Baseline patient characteristics and physician assessments

From: Diagnostic values of chest pain history, ECG, troponin and clinical gestalt in patients with chest pain and potential acute coronary syndrome assessed in the emergency department

 

All patients n = 1151 (%)

% with ACS n = 146 (97 MI, 49 UA)

Admitted to hospital

621 (54)

23.0

Age (years)

  

<40

177 (15.4)

0

40-65

474 (41.2)

10.3

>65

500 (43.4)

19.4

>80

176 (15.3)

21.0

Gender

  

Male

646 (56.1)

16.9

Cardiovascular history

  

Known PAD

26 (2.3)

23.1

Diabetes

168 (14.6)

25.0

Previous stroke

103 (8.9)

22.3

Known CAD

338 (29.4)

22.5

Known heart failure

116 (10.1)

12.1

Chest pain history

  

Typical of ACS

327 (28.4)

38.5

Typical of AMI

147 (12.8)

36.7

Suspicious of UA

180 (15.6)

40.0

Nonspecific

409 (35.5)

4.6

Not suspicious of ACS

415 (36.1)

0.2

ECG

  

ST elevation

23 (2.0)

69.6

ST depression

46 (4.0)

63.0

T-wave inversion

35 (3.0)

34.3

Q-wave

3 (0.3)

33.3

LBBB

8 (0.7)

37.5

Troponin T, initial

  

Elevated ≥ 0.05 μg/L

78 (6.8)

78.2

Overall clinical gestalt

  

Obvious ACS

21 (1.8)

81.0

Strong suspicion

250 (21.7)

41.2

Low suspicion

439 (38.1)

5.9

No suspicion

441 (38.3)

0

  1. PAD, peripheral artery disease; CAD, Coronary artery disease.
  2. ACS, Acute coronary syndrome; AMI, Acute myocardial infarction; UA, Unstable angina.
  3. LBBB, Left bundle branch block.