YES
|
___Physician on evaluation requested cardiac evaluation for chest pain |
___Age 18–60 |
NO
|
___EKG with changes consistent with acute ischemia or acute myocardial infarct; ST-segment elevation or depression of 1 mm or more that persisted for at least one minute; |
___Elevated serum levels of cardiac markers (Troponin or CK- MB) |
___History of prior myocardial infarction or coronary artery bypass surgery |
___Homodynamic instability |
___Unstable angina (as indicated by use of Heperin, Lovanox or IV nitroglycerine) |
___Admission directly to the Intensive Care Unit from ED. |