Clinical symptoms and vital signs for the diagnosis of patients with acute coronary syndrome (ACS)

Resting chest painECGTroponin level at 0 hTroponin change within 1–3 hDiagnosis
+Normal–/+–/+UA
++No ST-elevation+++NSTEMI
+++ST-elevation+++++STEMI

UA: unstable angina; NSTEMI: myocardial infarction without ST-segment elevation; STEMI acute myocardial infarction with ST-segment elevation on ECG