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Seventy percent of patients admitted to coronary care units are ruled out for acute myocardial infarction. It has been estimated that 2-3 billion dollars each year could be saved if these non- AMI patients could be identified early, allowing the patient to be admitted to a less intensive setting. This study evaluated a new bedside device, the Cardiac STATus CK-MB/Myoglobin device for its utility in rapidly ruling out AMI. The device demonstrated a 99% negative predictive value within three hours of patient presentation.
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- Evaluation of a rapid bedside assay for detection of serum cardiac troponin T.JAMA. 1995; 273: 1279-1282
- On McNemars test for the 2x2 table and its power function.Biometrics. 1970; 26: 342-393
- The development of monoclonal antibodies and an assay for cardiac troponin I with preliminary results in suspected myocardial infarction.Clin Chem. 1992; 11: 2203-2214
- Evaluation of a new rapid quantitative immunoassay for serum myoglobin versus CK-MB for ruling out acute myocardial infarction in the emergency department.Ann Emerg Med. 1994; 24: 665-671
- Evaluation of a new assay for cardiac troponin I versus CK-MB for the diagnosis of acute myocardial infarction [abstract].Academic Emergency Medicine. 1996; 3: 410-411
- Evaluation of a strategy for cost effective utilization of the CCU for rule out acute myocardial infarction [abstract].Academic Emergency Medicine. 1995; 2: 367
- Improved specificity of myoglobin plus carbonic anhydrase versus that of creatine kinase-MB for the early diagnosis of acute myocardial infarction.Ann Emerg Med. 1996; 27: 22-28
- Use of the initial electrocardiogram to predict in-hospital complications of acute myocardial infarction.N Engl J Med. 1985; 312: 1137-1141
- Serial myoglobin levels for patients with possible myocardial infarction.Academic Emergency Medicine. 1996; 3: 590-597
- Myoglobin as an early indicator of acute myocardial infarction.Ann Emerg Med. 1987; 16: 851-856
- Early detection of acute myocardial infarction in patients presenting with chest pain and nondiagnostic ECGs: Serial CK-MB sampling in the emergency department.Ann Emerg Med. 1990; 19: 1359-1366
- The Emergency Medicine Cardiac Research Group: Acute myocardial infarction in chest pain patients with nondiagnostic ECGs: Serial CK-MB sampling in the Emergency Department.Arm Emerg Med. 1992; 21: 504-512
- International diagnostic criteria for acute myocardial infarction and stroke.Am Heart J. 1984; 108: 150-158
- The potential utility of a rapid CK-MB assay in evaluating emergency department patients with possible myocardial infarction.Arm Emerg Med. 1991; 20: 954-960
- Use of cardiac enzymes identifies patients with acute myocardial infarction otherwise unrecognized in the emergency department.Arm Emerg Med. 1987; 16: 248-252
- Variations in the electrocardiograms of young adults: Are revised criteria for thrombolysis necessary?.Academic Emergency Medicine. 1994; 1: 94-102
Howard EH, Easton RJ: The economics of CK-MB testing. CAP Today, Jan 1994, p 51
- Massachusetts emergency medicine closed malpractice claims: 1988-1990.Arm Emerg Med. 1993; 22: 553-559
- The measurement of observer agreement for categorical data.Biometrics. 1977; 33: 159-174
- Candidates for thrombolysis among emergency room patients with acute chest pain: Potential true and false positive rates.Arm Intern Med. 1989; 110: 957-962
- Early diagnosis of acute myocardial infarction by a newly developed rapid immunoturbidimetric assay for myoglobin.Br Heart J. 1992; 68: 462-468
- Use of a rapid assay of subforms of creatine kinase MB to diagnose or rule out acute myocardial infarction.N Engl J Med. 1994; 331: 561-566
- Disposition of presumed coronary patients from an emergency room: A follow-up study.JAMA. 1976; 236: 941-943
- Coronary care unit triage decision aids: How do we know when they work?.Am J Med. 1989; 87: 491-493
- Outcome in suspected acute myocardial infarction with normal or minimally abnormal admission electrocardiographic findings.Am J Cardiol. 1987; 60: 766-770
- Serum enzymes, isoenzymes, myoglobin, and contractile proteins in acute myocardial infarction.Cardiovascular Clinics. 1983; 13: 355-369
- Creatine kinase in serum: 1.Determination of optimum reaction conditions. Clin Chem. 1976; 22: 650-656
- Value of serial myoglobin levels in the early diagnosis of patients admitted for acute myocardial infarction.Ann Emerg Med. 1994; 24: 704-708
- Myoglobin.Lab Med. 1992; 23: 306-310
© 1997 Elsevier Inc. Published by Elsevier Inc. All rights reserved.