Test

Details

Troponin

Begins to rise at 3 - 4 hours Maximum sensitivity at 12 - 18 hours Stays positive 1 - 2 weeks after event

CK-MB

Begins to rise at 3 - 4 hours Maximum sensitivity at 12 - 18 hours CK-MB lasts 1 - 2 days

Myoglobin

Rises at 1 - 4 hours

Catheterizati on

Clear history and abnormal EKG needs evaluation for angiography

BNP

Use when etiology of dyspnea not clear

Stress test

Use when history and EKG are not clear

Echocardiogr am

Looks at wall and valve motion Ejection fraction

Telemetry

Continuous EKG monitor