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J R Soc Med. 1991 July; 84(7): 398–399.
PMCID: PMC1293327

Value of emergency cardiac enzymes: audit in a coronary care unit.


Medical audit in a district general hospital coronary care unit led to the introduction of an emergency cardiac enzyme service. 91.2% of patients eligible for thrombolysis therapy received treatment following this introduction compared to 73.7% before (P = .05). No patient was treated inappropriately on the basis of a raised cardiac enzyme.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Rosalki SB. Enzyme assays in diseases of the heart and skeletal muscle. J Clin Pathol Suppl (Assoc Clin Pathol) 1970;4:60–70. [PMC free article] [PubMed]
  • Lee TH, Weisberg MC, Cook EF, Daley K, Brand DA, Goldman L. Evaluation of creatine kinase and creatine kinase-MB for diagnosing myocardial infarction. Clinical impact in the emergency room. Arch Intern Med. 1987 Jan;147(1):115–121. [PubMed]
  • Eisenberg JM, Horowitz LN, Busch R, Arvan D, Rawnsley H. Diagnosis of acute myocardial infarction in the emergency room: a prospective assessment of clinical decision making and the usefulness of immediate cardiac enzyme determination. J Community Health. 1979 Spring;4(3):190–198. [PubMed]

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