Table 1. Diagnostic Elements in AMI Algorithms.
| Algorithms | ||||||
|---|---|---|---|---|---|---|
| WHO | MHS | MONICA | ESC/ACC | AHA | ESC/ACC/AHA/WHF | |
| Publication year | 1976 | 1987 | 1999 | 2000 | 2003 | 2007 |
|
| ||||||
| Emphasis Level* | ||||||
|
| ||||||
| ECG | 3 | 3 | 3 | 3 | 3 | 1 |
| Biomarkers | 2 | 2 | 2 | 3 | 3 | 3 |
| Symptoms | 2 | 2 | 2 | 3 | 2 | 2 |
| Autopsy | 2 | 3 | 3 | 3 | 3 | 2 |
| Iatrogenic AMI | 0 | 2 | 0 | 0 | 0 | 3 |
| Delayed death (30 days) | 0 | 3 | 3 | 3 | 3 | 3 |
*
Importance in algorithm
0=Not considered; 1=Rarely considered; 2=Usually considered; 3=Always considered
WHO=World Health Organization; MHS=Minnesota Heart Survey; MONICA=WHO Monitoring Trends and Determinants of Cardiovascular Disease; ESC=European Society of Cardiology; ACC=American College of Cardiology; AHA=American Heart Association; WHF=World Heart Federation