Inclusion criteria | Exclusion criteria |
---|---|
Age ≥75 years | Initial troponin elevation occurs >24 hours after hospital admission |
Diagnosis of acute myocardial infarction | Acute myocardial infarction secondary to inpatient procedure or surgery |
- Serum troponin I or troponin T elevation above laboratory s upper limit of normal, and either (1) ischemic ECG findings, (2) anginal symptoms, (3) imaging evidence of new loss of viable myocardium or new regional wall motion abnormality; (4) identification of an intracoronary thrombus on angiographya | Transferred from another hospital with a length of stay >24 hours at the referring hospital |
Incarcerated | |
Unable to provide informed consent with no proxy available |