Table 1

Management protocols in six chest pain evaluation units

First authorDuration of protocol (h)ECGBiochemical markersAdditional testing
ETT, exercise tolerance test; echo, echocardiogram.
Zalenski9120, 6, 12 hoursCK-MB at 0, 4, 8, 12 hoursETT
Gibler109Continuous ST segment monitorCK-MB at 0, 3, 6, 9 hours2-D echo, ETT
Hoekstra119Continuous ST segment monitorCK-MB at 0, 3, 6, 9 hoursThallium ETT
Doherty1290, 3, 6, 9 hoursCK-MB at 0, 3, 6, 9 hoursCardiology consult, ETT,
Thallium ETT, MUGA scan
Mikhail138Continuous ST segment monitorTotal CK at 0 hoursETT, Stress echo
+/− CK-MB at 0, 4, 8 hoursDobutamine echo,
+/− myoglobin at 0, 4 hoursThallium ETT
Gomez149Continuous ST segment monitorTotal CK + CK-MB at 0, 3, 6, 9 hoursETT, Dobutamine echo