Clinical presentation, electrocardiogram, and high-sensitive cardiac troponin T on admission
| Patient . | Age (years) . | Gender . | Clinical presentation . | Cardiovascular risk factors . | ECG abnormalities . | STEMI . | Hs-cTnT admission (ng/L) . | Hs-cTnT 1 h/2 h/3 h after admission (ng/L) . | Δ HsTNT ng/L (%) . | Rule-in non-STEMI - high Hs-cTnT or significant Δ Hs-cTnT . | Hs-cTnT peak (ng/L) . |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 62 | Female | Acute chest pain and worsening during inspiration | aHT, chol, smoking | None | No | 16 | 103 (1 h) | 87 (544%) | Yes | 120 |
| 2 | 49 | Male | Chest pain and dyspnoea for 1 week before admission | None | None | No | 77 | 100 (3 h) | 23 (30%) | Yes | 100 |
| 3 | 67 | Female | Acute chest pain, dyspnoea, palpitations, and dizziness | aHT | ST-segment elevation II, III, aVF | Yes | 472 | — | — | — | 896 |
| 4 | 71 | Female | Acute chest pain, jaw pain, and ear arches starting | None | New right bundle branch block | No | 48 | 43 (1 h) | 5 (10%) | Yes | 48 |
| 5 | 45 | Male | Acute chest and back pain radiating in jaw and left arm | aHT, chol, smoking | ST-segment elevation II, III, aVF and ST-segment depression I, aVL | Yes | 235 | — | — | — | 1173 |
| 6 | 76 | Female | Acute left-sided chest pain and dyspnoea | aHT, DM, family hx CAD | Complete loss of precordial R waves | No | 140 | 380 (3 h) | 240 (171%) | Yes | 206 |
| 7 | 60 | Female | Prolonged chest pain radiating in left arm beginning 3 days before admission | aHT, chol, DM, family hx CAD | T-wave inversion I, V3–V6 | No | 103 | 107 (1 h) | 4 (4%) | Yes | 210 |
| 8 | 80 | Male | Presyncope | aHT, DM | None | No | 26 | 64 (2 h) | 38 (146%) | Yes | 122 |
| 9 | 59 | Male | Severe acute chest pain radiating in left arm | aHT, smoking | ST-segment elevation V1–V3 | Yes | 173 | — | — | — | 842 |
| 10 | 71 | Male | Syncope | aHT, chol | Slight ST-segment elevation V2 | No | 123 | N.A. | — | Yes | 341 |
| 11 | 66 | Male | Chest pain for the last 2 days | aHT, chol, DM | Right bundle branch block | No | 38 | 53 (1 h) | 15 (39%) | Yes | 242 |
| 12 | 70 | Female | Acute chest pain radiating in left arm and dyspnoea | aHT, chol, DM | None | No | 17 | 28 (2 h) | 11 (65%) | Yes | 45 |
| 13 | 66 | Male | Palpitations | None | Atrial fibrillation | No | 653 | N.A. | — | Yes | 653 |
| 14 | 52 | Male | Chest pain radiating in left arm beginning 7 days before admission | aHT, chol, smoking | ST-segment depression in III, V3, V4 | No | 189 | 216 (1 h) | 27 (14%) | Yes | 264 |
| Patient . | Age (years) . | Gender . | Clinical presentation . | Cardiovascular risk factors . | ECG abnormalities . | STEMI . | Hs-cTnT admission (ng/L) . | Hs-cTnT 1 h/2 h/3 h after admission (ng/L) . | Δ HsTNT ng/L (%) . | Rule-in non-STEMI - high Hs-cTnT or significant Δ Hs-cTnT . | Hs-cTnT peak (ng/L) . |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 62 | Female | Acute chest pain and worsening during inspiration | aHT, chol, smoking | None | No | 16 | 103 (1 h) | 87 (544%) | Yes | 120 |
| 2 | 49 | Male | Chest pain and dyspnoea for 1 week before admission | None | None | No | 77 | 100 (3 h) | 23 (30%) | Yes | 100 |
| 3 | 67 | Female | Acute chest pain, dyspnoea, palpitations, and dizziness | aHT | ST-segment elevation II, III, aVF | Yes | 472 | — | — | — | 896 |
| 4 | 71 | Female | Acute chest pain, jaw pain, and ear arches starting | None | New right bundle branch block | No | 48 | 43 (1 h) | 5 (10%) | Yes | 48 |
| 5 | 45 | Male | Acute chest and back pain radiating in jaw and left arm | aHT, chol, smoking | ST-segment elevation II, III, aVF and ST-segment depression I, aVL | Yes | 235 | — | — | — | 1173 |
| 6 | 76 | Female | Acute left-sided chest pain and dyspnoea | aHT, DM, family hx CAD | Complete loss of precordial R waves | No | 140 | 380 (3 h) | 240 (171%) | Yes | 206 |
| 7 | 60 | Female | Prolonged chest pain radiating in left arm beginning 3 days before admission | aHT, chol, DM, family hx CAD | T-wave inversion I, V3–V6 | No | 103 | 107 (1 h) | 4 (4%) | Yes | 210 |
| 8 | 80 | Male | Presyncope | aHT, DM | None | No | 26 | 64 (2 h) | 38 (146%) | Yes | 122 |
| 9 | 59 | Male | Severe acute chest pain radiating in left arm | aHT, smoking | ST-segment elevation V1–V3 | Yes | 173 | — | — | — | 842 |
| 10 | 71 | Male | Syncope | aHT, chol | Slight ST-segment elevation V2 | No | 123 | N.A. | — | Yes | 341 |
| 11 | 66 | Male | Chest pain for the last 2 days | aHT, chol, DM | Right bundle branch block | No | 38 | 53 (1 h) | 15 (39%) | Yes | 242 |
| 12 | 70 | Female | Acute chest pain radiating in left arm and dyspnoea | aHT, chol, DM | None | No | 17 | 28 (2 h) | 11 (65%) | Yes | 45 |
| 13 | 66 | Male | Palpitations | None | Atrial fibrillation | No | 653 | N.A. | — | Yes | 653 |
| 14 | 52 | Male | Chest pain radiating in left arm beginning 7 days before admission | aHT, chol, smoking | ST-segment depression in III, V3, V4 | No | 189 | 216 (1 h) | 27 (14%) | Yes | 264 |
aHT, atrial hypertension; CAD, coronary artery disease; chol, hypercholesteraemia; DM, diabetes mellitus; ECG, electrocardiogram; Hs-cTnT, high-sensitive cardiac troponin T; hx, history; non-STEMI, non–ST-elevation myocardial infarction; STEMI, ST-elevation myocardial infarction; N.A., not available.
Clinical presentation, electrocardiogram, and high-sensitive cardiac troponin T on admission
| Patient . | Age (years) . | Gender . | Clinical presentation . | Cardiovascular risk factors . | ECG abnormalities . | STEMI . | Hs-cTnT admission (ng/L) . | Hs-cTnT 1 h/2 h/3 h after admission (ng/L) . | Δ HsTNT ng/L (%) . | Rule-in non-STEMI - high Hs-cTnT or significant Δ Hs-cTnT . | Hs-cTnT peak (ng/L) . |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 62 | Female | Acute chest pain and worsening during inspiration | aHT, chol, smoking | None | No | 16 | 103 (1 h) | 87 (544%) | Yes | 120 |
| 2 | 49 | Male | Chest pain and dyspnoea for 1 week before admission | None | None | No | 77 | 100 (3 h) | 23 (30%) | Yes | 100 |
| 3 | 67 | Female | Acute chest pain, dyspnoea, palpitations, and dizziness | aHT | ST-segment elevation II, III, aVF | Yes | 472 | — | — | — | 896 |
| 4 | 71 | Female | Acute chest pain, jaw pain, and ear arches starting | None | New right bundle branch block | No | 48 | 43 (1 h) | 5 (10%) | Yes | 48 |
| 5 | 45 | Male | Acute chest and back pain radiating in jaw and left arm | aHT, chol, smoking | ST-segment elevation II, III, aVF and ST-segment depression I, aVL | Yes | 235 | — | — | — | 1173 |
| 6 | 76 | Female | Acute left-sided chest pain and dyspnoea | aHT, DM, family hx CAD | Complete loss of precordial R waves | No | 140 | 380 (3 h) | 240 (171%) | Yes | 206 |
| 7 | 60 | Female | Prolonged chest pain radiating in left arm beginning 3 days before admission | aHT, chol, DM, family hx CAD | T-wave inversion I, V3–V6 | No | 103 | 107 (1 h) | 4 (4%) | Yes | 210 |
| 8 | 80 | Male | Presyncope | aHT, DM | None | No | 26 | 64 (2 h) | 38 (146%) | Yes | 122 |
| 9 | 59 | Male | Severe acute chest pain radiating in left arm | aHT, smoking | ST-segment elevation V1–V3 | Yes | 173 | — | — | — | 842 |
| 10 | 71 | Male | Syncope | aHT, chol | Slight ST-segment elevation V2 | No | 123 | N.A. | — | Yes | 341 |
| 11 | 66 | Male | Chest pain for the last 2 days | aHT, chol, DM | Right bundle branch block | No | 38 | 53 (1 h) | 15 (39%) | Yes | 242 |
| 12 | 70 | Female | Acute chest pain radiating in left arm and dyspnoea | aHT, chol, DM | None | No | 17 | 28 (2 h) | 11 (65%) | Yes | 45 |
| 13 | 66 | Male | Palpitations | None | Atrial fibrillation | No | 653 | N.A. | — | Yes | 653 |
| 14 | 52 | Male | Chest pain radiating in left arm beginning 7 days before admission | aHT, chol, smoking | ST-segment depression in III, V3, V4 | No | 189 | 216 (1 h) | 27 (14%) | Yes | 264 |
| Patient . | Age (years) . | Gender . | Clinical presentation . | Cardiovascular risk factors . | ECG abnormalities . | STEMI . | Hs-cTnT admission (ng/L) . | Hs-cTnT 1 h/2 h/3 h after admission (ng/L) . | Δ HsTNT ng/L (%) . | Rule-in non-STEMI - high Hs-cTnT or significant Δ Hs-cTnT . | Hs-cTnT peak (ng/L) . |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 62 | Female | Acute chest pain and worsening during inspiration | aHT, chol, smoking | None | No | 16 | 103 (1 h) | 87 (544%) | Yes | 120 |
| 2 | 49 | Male | Chest pain and dyspnoea for 1 week before admission | None | None | No | 77 | 100 (3 h) | 23 (30%) | Yes | 100 |
| 3 | 67 | Female | Acute chest pain, dyspnoea, palpitations, and dizziness | aHT | ST-segment elevation II, III, aVF | Yes | 472 | — | — | — | 896 |
| 4 | 71 | Female | Acute chest pain, jaw pain, and ear arches starting | None | New right bundle branch block | No | 48 | 43 (1 h) | 5 (10%) | Yes | 48 |
| 5 | 45 | Male | Acute chest and back pain radiating in jaw and left arm | aHT, chol, smoking | ST-segment elevation II, III, aVF and ST-segment depression I, aVL | Yes | 235 | — | — | — | 1173 |
| 6 | 76 | Female | Acute left-sided chest pain and dyspnoea | aHT, DM, family hx CAD | Complete loss of precordial R waves | No | 140 | 380 (3 h) | 240 (171%) | Yes | 206 |
| 7 | 60 | Female | Prolonged chest pain radiating in left arm beginning 3 days before admission | aHT, chol, DM, family hx CAD | T-wave inversion I, V3–V6 | No | 103 | 107 (1 h) | 4 (4%) | Yes | 210 |
| 8 | 80 | Male | Presyncope | aHT, DM | None | No | 26 | 64 (2 h) | 38 (146%) | Yes | 122 |
| 9 | 59 | Male | Severe acute chest pain radiating in left arm | aHT, smoking | ST-segment elevation V1–V3 | Yes | 173 | — | — | — | 842 |
| 10 | 71 | Male | Syncope | aHT, chol | Slight ST-segment elevation V2 | No | 123 | N.A. | — | Yes | 341 |
| 11 | 66 | Male | Chest pain for the last 2 days | aHT, chol, DM | Right bundle branch block | No | 38 | 53 (1 h) | 15 (39%) | Yes | 242 |
| 12 | 70 | Female | Acute chest pain radiating in left arm and dyspnoea | aHT, chol, DM | None | No | 17 | 28 (2 h) | 11 (65%) | Yes | 45 |
| 13 | 66 | Male | Palpitations | None | Atrial fibrillation | No | 653 | N.A. | — | Yes | 653 |
| 14 | 52 | Male | Chest pain radiating in left arm beginning 7 days before admission | aHT, chol, smoking | ST-segment depression in III, V3, V4 | No | 189 | 216 (1 h) | 27 (14%) | Yes | 264 |
aHT, atrial hypertension; CAD, coronary artery disease; chol, hypercholesteraemia; DM, diabetes mellitus; ECG, electrocardiogram; Hs-cTnT, high-sensitive cardiac troponin T; hx, history; non-STEMI, non–ST-elevation myocardial infarction; STEMI, ST-elevation myocardial infarction; N.A., not available.
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