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Guideline for the management of patients with acute coronary syndromes without persistent ECG ST segment elevation
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  • Published on:
    Guidelines should consider troponin assay performance
    Dear Editor,

    We have concerns about the role of troponin measurements in the recently published guidelines on the management of acute coronary syndromes not associated with ST elevation on the ECG.[1] We feel that following the guideline in its present form will blunt the usefulness of troponin measurements as a decision support tool.

    The recommended decision limits seem to reflect an insufficiently critical appraisal...

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    Conflict of Interest:
    None declared.
  • Published on:
    Redefinition of myocardial infarction - Authors' response
    • David Hackett
    • Other Contributors:
      • "Nicholas Brooks, Henry Dargie"
    Dear Editor,

    Thank you for sending us the letter from Hildick-Smith and Glennon and inviting a response. The Guideline for the management of patients with acute coronary syndromes without persistent ECG ST segment elevation (Heart 2001;85:133-142) was based on the deliberations of a working party which met in October 1999, and on a review of the literature up to December 1999. The paper referred to by Hildick-Smith a...

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    Conflict of Interest:
    None declared.
  • Published on:
    Redefinition of myocardial infarction
    Dear Editor,

    The Guideline for the management of patients with acute coronary syndromes without persistent ECG ST segment elevation[1] gives excellent and timely advice, but there is one area which continues to cause confusion, and that concerns the diagnosis of "myocardial infarction".

    The International Redefinition of Myocardial Infarction[2] states that an infarct has occurred when there has been a typical rise...

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    Conflict of Interest:
    None declared.