Table 4

Diagnostic tests used in the chest pain observation unit protocols

First authorST monitorCardiac enzymesExercise stress testOthers
*Selected patients only.
†If unable to exercise. CK = creatine kinase; CK-MB = creatine kinase MB isoenzyme; ECHO = echocardiogram; LDH = lactate dehydrogenase.
Farkouh17YesCK-MBYesNuclear or ECHO stress test†
Roberts18NoCK-MBYesNil
Gomez19YesCK, CK-MBYesECHO, dobutamine stress ECHO*
Gaspoz20NoCK-MBYesNil
Kerns21NoNilYesNil
Gibler23YesCK-MBYesECHO
Kirk24NoNilYesNil
Mikhail26YesCK, CK-MB, myoglobinYesNuclear or ECHO stress test†
De Leon27NoCK, LDH, CK-BNoNil
Hoekstra29YesCK, CK-MBYesECHO
Stomel28NoCK-MBNoStress ECHO