Atul Jaidka
Cardiologist | Unity Health - St. Joseph's Hospital
"Oh no my chest hurts..." Edition
Detection of an elevated cTn value above the 99th percentile URL is defined as myocardial injury. The injury is considered acute if there is a rise and/or fall of cTn values.
Detection of a rise and/or fall of cTn values with at least one value above the 99th percentile URL and with at least one of the following:
Symptoms of acute myocardial ischaemia;
New ischaemic ECG changes;
Development of pathological Q waves;
Imaging evidence of new loss of viable myocardium or new regional wall motion abnormality in a pattern consistent with an ischaemic aetiology;
Identification of a coronary thrombus by angiography including intracoronary imaging or by autopsy. (Not for Type 2/3)
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Morphine is way down here. Can be when above contraindicated.
By Atul Jaidka
Oh no my chest hurts...