"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.