Seager S B
Ann Emerg Med. 1980 Jul;9(7):346-9. doi: 10.1016/s0196-0644(80)80109-0.
All patients presenting to a community hospital with a complaint of "chest pain" were analyzed regarding the value of cardiac enzyme determinations done in the emergency department and eventual disposition to admission or discharge. The laboratory enzyme tests were found to be of no value in the decision-making process. The majority of patients had either a more compelling reason for dismissal home or historical and electrocardiographic indications mandating admission. An isolated emergency department enzyme evaluation was shown to be a poor indicator for subsequent infarction in patients who were admitted. While cardiac enzymes play a significant role in the monitoring and evolution of infarction in the hospitalized patient, there seems to be no justification for their being run on a stat basis in the emergency department.
对所有因“胸痛”主诉前往社区医院就诊的患者，分析了在急诊科进行心肌酶测定的价值以及最终的住院或出院处置情况。结果发现实验室酶检测在决策过程中毫无价值。大多数患者要么有更具说服力的理由可以回家，要么有病史和心电图指征需要住院。对于入院患者，单独的急诊科酶评估显示对后续梗死情况的预测效果不佳。虽然心肌酶在住院患者梗死的监测和病情演变中起着重要作用，但在急诊科进行急诊检测似乎没有依据。
