© 2004 BMJ Publishing Group Ltd, British Association for Accident & Emergency Medicine, & Faculty of Accident & Emergency Medicine
EDITORIAL
New biochemical marker for chest pain
"Ischemia modified albumin": a new biochemical marker of myocardial ischaemia
Correspondence to:
Correspondence to:
Dr A Sacchetti
Our Lady of Lourdes Medical Center, 1600 Haddon Avenue, Camden, New Jersey, USA; a.sacchetti@worldnet.att.net
Biochemical marker that has the potential to change management of chest pains
Keywords: Ischemia modified albumin; myocardial ischaemia
| The first 150 words of the full text of this article appear below. |
Periodically in the course of a medical career a new technological advance occurs that dramatically changes the direction of our patient care. The brief history of emergency medicine has unveiled a few such marvels. Those of us who have been in practice for many years have on occasion boasted to our younger colleagues of the challenges of managing SVTs without adenosine, or diagnosing unconscious patients with no computed tomography scans. The report by Sinha et al on an "Ischemia modified albumin" (IME) assay in this issue of the journal has the potential to create a similar management change for the emergency department care of chest pain patients.1
Differentiating transient myocardial ischaemia or angina from non-cardiac causes of chest pain is a major diagnostic challenge. Emergency physicians have a very limited number of answers they can provide a chest pain patient. We can identify an
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