Table 3

Final diagnosis and clinical follow-up

Rule-out n=398Observe n=470Rule-in n=449P value
Myocardial infarction, No. (%) 1 (0.3) 83 (17.7) 402 (89.5)<0.001
 Type I1 (0.3)14 (3.0)220 (49.0)
 Type II0 (0)69 (14.7)181 (40.3)
 Type III0 (0)0 (0)1 (0.2)
Other cardiovascular disease, No. (%) 102 (25.6) 216 (46.0) 34 (7.5)<0.001
 Unstable angina40 (10.1)101 (21.5)6 (1.3)
 Arrhythmia51 (12.8)59 (12.6)10 (2.2)
 Valvular heart disease2 (0.5)8 (1.7)5 (1.1)
 Heart failure/cardiomyopathy7 (1.8)41 (8.7)12 (2.7)
 Pulmonary embolism1 (0.3)4 (0.9)1 (0.2)
 Pericarditis/myocarditis1 (0.3)3 (0.6)0 (0)
 Aortic dissection0 (0)0 (0)0 (0)
Non-cardiovascular disease, No. (%) 295 (74.1) 171 (36.4) 13 (3.0)<0.001
 Hypertensive emergency81 (20.4)57 (12.1)3 (0.7)
 Hypotension/dehydration14 (3.5)15 (3.2)1 (0.2)
 Orthopaedic disorder119 (29.9)44 (9.4)2 (0.4)
 Pulmonary disorder9 (2.3)19 (4.0)1 (0.2)
 Psychiatric disorder14 (3.5)1 (0.2)1 (0.2)
 Gastrointestinal disorder/anaemia18 (4.5)7 (1.5)3 (0.7)
 Severe infection8 (2.0)11 (3.0)1 (0.2)
 Other32 (8.0)17 (3.6)1 (0.2)
30 days follow-up, No. (%)
 Death, myocardial infarction or unplanned coronary intervention1 (0.3)10 (2.1)18 (4.0)0.001
 Death1 (0.3)7 (1.5)18 (4.0)<0.001
 Cardiovascular0 (0)5 (1.1)14 (3.1)
 Non-cardiovascular1 (0.3)2 (0.4)4 (0.9)
 Myocardial infarction0 (0)1 (0.2)0 (0)0.41
 Unplanned coronary intervention0 (0)2 (0.4)0 (0)0.16
  • Patients stratified according to 1-hour troponin algorithm for patients with suspected NSTEMI.

  • NSTEMI, non-ST-segment myocardial infarction.