chest pain or other symptoms suggestive of acute cardiac ischemia
Item
1. patients with chest pain or other symptoms suggestive of acute cardiac ischemia.
boolean
C0008031 (UMLS CUI [1])
C0151744 (UMLS CUI [2,1])
C1457887 (UMLS CUI [2,2])
timi risk score
Item
2. low risk timi risk score (ie. ≤3)
boolean
C3272266 (UMLS CUI [1])
informed consent
Item
3. able to provide informed consent
boolean
C0021430 (UMLS CUI [1])
age
Item
4. age equal to or greater than 18 years.
boolean
C0001779 (UMLS CUI [1])
ECG signs of myocardial ischaemia | ST segment elevation myocardial infarction | ST segment depression (finding) | ECG T wave inversion new | physicians evaluation
Item
1. electrocardiographic evidence of ischemia, including acute stemi (st elevation equal to or greater than 1mm in two or more leads), st segment depression and/or t wave inversion (not known to be old), or attending physician clinical decision for immediate invasive evaluation.
boolean
C1141959 (UMLS CUI [1])
C1536220 (UMLS CUI [2])
C0520887 (UMLS CUI [3])
C0743447 (UMLS CUI [4])
C2066348 (UMLS CUI [5])
Cardiac biomarkers; Troponin measurement; Myoglobin measurement; Creatine kinase MB measurement
Item
2. positive cardiac biomarkers (troponin, myoglobin, and/or creatinine phosphokinase mb fraction).
boolean
C2735102 (UMLS CUI [1,1])
C0523952 (UMLS CUI [1,2])
C0373680 (UMLS CUI [1,3])
C0523584 (UMLS CUI [1,4])
Coronary Artery Disease; History of myocardial infarction; History of coronary artery bypass surgery (CABG); coronary angiography: coronary artery findings | Cardiomyopathies; Cardiac ejection fraction
Item
3. presence of pre-existing cad (prior myocardial infarction, prior angiographic evidence of significant cad, prior coronary bypass surgery) or cardiomyopathy (ejection fraction < 45%)
boolean
C1956346 (UMLS CUI [1,1])
C1275835 (UMLS CUI [1,2])
C1842251 (UMLS CUI [1,3])
C2041526 (UMLS CUI [1,4])
C0878544 (UMLS CUI [2,1])
C0232174 (UMLS CUI [2,2])
creatinine, dialysis
Item
4. renal insufficiency (creatinine ≥1.6) or renal failure requiring dialysis.
boolean
C0201976 (UMLS CUI [1])
C0011946 (UMLS CUI [2])
Atrial Fibrillation | Cardiac Arrhythmia
Item
5. atrial fibrillation or other markedly irregular rhythm.
boolean
C0004238 (UMLS CUI [1])
C0003811 (UMLS CUI [2])
informed consent
Item
6. inability or refusal to provide informed consent.
boolean
C0021430 (UMLS CUI [1])
Mental disorders | Claustrophobia
Item
7. psychological unsuitability or extreme claustrophobia.
boolean
C0004936 (UMLS CUI [1])
C0008909 (UMLS CUI [2])
pregnancy
Item
8. pregnancy or unknown pregnancy status.
boolean
C0032961 (UMLS CUI [1])
age
Item
9. age less than 18 years.
boolean
C0001779 (UMLS CUI [1])
Instability; Clinical | Shock, Cardiogenic | Hypotension | Refractory hypertension | Ventricular arrhythmia; Sustained; Medication administration: intravenous; Atrial arrhythmia
Item
10. clinical instability as deemed by the attending physician; including cardiogenic shock, hypotension (systolic blood pressure < 90 mmhg), refractory hypertension (systolic blood pressure > 180 mmhg), sustained ventricular or atrial arrhythmia requiring intravenous medications.
boolean
C1444783 (UMLS CUI [1,1])
C0205210 (UMLS CUI [1,2])
C0036980 (UMLS CUI [2])
C0020649 (UMLS CUI [3])
C0860493 (UMLS CUI [4])
C0085612 (UMLS CUI [5,1])
C0443318 (UMLS CUI [5,2])
C0812149 (UMLS CUI [5,3])
C0085611 (UMLS CUI [5,4])
patients with known allergy to iodine or shellfish
Item
11. patients with known allergy to iodine or shellfish.
boolean
C0020517 (UMLS CUI [1,1])
C0021968 (UMLS CUI [1,2])
C0020517 (UMLS CUI [2,1])
C1304606 (UMLS CUI [2,2])
Medical contraindication; Adrenergic beta-1 Receptor Antagonists | Chronic Obstructive Airway Disease; Asthma; Inhaled bronchodilator therapy; inhaled steroids | Complete heart block with broad RS complexes; Second degree atrioventricular block
Item
12. inability to tolerate beta blockers, including those with copd or asthma requiring maintenance inhaled bronchodilators or steroids, complete heart block, second-degree atrioventricular block.
boolean
C1301624 (UMLS CUI [1,1])
C0304516 (UMLS CUI [1,2])
C0024117 (UMLS CUI [2,1])
C0004096 (UMLS CUI [2,2])
C0578554 (UMLS CUI [2,3])
C2065041 (UMLS CUI [2,4])
C1861987 (UMLS CUI [3,1])
C0264906 (UMLS CUI [3,2])
ct scan or contrast administration
Item
13. computed tomography imaging, or contrast administration, within the past 48 hours.
boolean
C0040405 (UMLS CUI [1])
C0009924 (UMLS CUI [2,1])
C0332157 (UMLS CUI [2,2])
viagra or cialis
Item
14. use of viagra or cialis in the past 24 hours.
boolean
C0663448 (UMLS CUI [1,1])
C0967376 (UMLS CUI [1,2])
Hypersensitivity; Gadolinium | Hypersensitivity; Persantine | Contrast media allergy
Item
15. patients with known allergy to gadolinium, x-ray dye, persantine
boolean
C0020517 (UMLS CUI [1,1])
C0016911 (UMLS CUI [1,2])
C0020517 (UMLS CUI [2,1])
C0700020 (UMLS CUI [2,2])
C0570562 (UMLS CUI [3])
severe claustrophobia
Item
16. extreme claustrophobia.
boolean
C0008909 (UMLS CUI [1,1])
C0205082 (UMLS CUI [1,2])
patients with metal implants that prevent mri scanning
Item
17. patients with metal implants that prevent mri scanning
boolean
C0025552 (UMLS CUI [1,1])
C0021102 (UMLS CUI [1,2])
C1301624 (UMLS CUI [2,1])
C0024485 (UMLS CUI [2,2])
body weight
Item
18. patients with a body weight > 400 lbs
boolean
C0005910 (UMLS CUI [1])