Bayes interpreter

Enter what you know; anything left as NA or blank is ignored.

1st troponin

ng/L

2nd troponin

ng/L

Assay used

Time between draws

Prior hs-troponin (optional)

ng/L

Creatinine

mg/dL

Y: yes, present. N: no, absent. NA: not assessed.

Is/was on chemotherapy

Is/was on immunotherapy

Hypertension

Diabetes

Hyperlipidemia

Obesity

Tobacco smoking

Stroke or TIA

Peripheral artery disease

Prior CAD

Family history of CAD

Prior MI

Prior CABG

Abnormal prior stress test

Age

years

Sex

Y: yes, present. N: no, absent. NA: not assessed.

Improves with nitroglycerin

Typical chest pain

Worse on exertion

Recent episode of similar pain

Similar to prior ischemia

Abrupt onset

Change in pain character over prior 24 hrs

Radiation to L arm

Radiation to R arm

Typical radiation

Radiation to neck or jaw

Burning pain

Pleuritic pain

Associated symptoms

Associated dyspnea

Associated nausea/vomiting

Associated palpitations

Associated syncope

Many conditions besides ACS can raise troponin. Review them before attributing an elevation to MI.

Review etiologies of ↑Tn

Y: yes, present. N: no, absent. NA: not assessed.

ST depression

T wave inversion

Ischemic change

ST elevation

From the ECG page: not reviewed yet

Review the ECG patterns

Y: yes, present. N: no, absent. NA: not assessed.

Systolic BP below 100 mmHg

Respiratory rate above 20/min

Heart rate above 120 bpm

Y: yes, present. N: no, absent. NA: not assessed.

Lung rales

Pain on palpation

Diaphoresis

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Please discuss specific patient presentation with your local cardiologist. By using this interactive application, you certify that you are a licensed healthcare professional in the United States/Canada or enrolled in a medical training program, and that you will exercise your independent clinical judgment based on patient-specific characteristics prior to applying the knowledge in your clinical practice.