100 QUESTIONS IN CARDIOLOGY

FFiigguurree 2200 .. 11 RRiisskk ssttrraattiiffiiccaattiioonn aallggoorriitthhmm ffoorr aaccuuttee cchheesstt ppaaiinn

Acute chest pain

ST elevation ST depression Normal ECG / T wave changes

Acute MI High-risk Troponin T

Admit

Positive Negative

High-risk

Admit

Repeat troponin T >12 hours after symptom onset

Positive Negative

High-risk Low-risk

Admit

Pre-discharge exercise stress test

or myocardial perfusion scan

Positive stress test Negative stress test

Coronary angiography Discharge