The Ischemia Modified Albumin In Diagnosing Ischemic New Events

Exclusion Criteria

• •Administration of thrombolytic medication prior to first (presentation) blood draw
• •Acute coronary syndrome (ACS) secondary to supply/demand inequity (i.e. known anemia, tachycardia, - defined as HR greater than 150 bpm, known sepsis, hypotension, defined as blood pressure \< 90 mmHg).
• •Established diagnosis of liver cirrhosis
• •Other acute ischemic sources (ongoing severe claudication, mesenteric ischemia, acute TIA/CVA)
• •Renal failure requiring dialysis
• •Greater than 2 hours from relief of the most recent episode of chest pain or signs and symptoms suggestive of coronary ischemia.
• •Chest pain following traumatic injury to the chest
• •Evidence for sever systemic infection, manifesting as fever (temperature \>100 degrees) and systolic blood pressure \<100 mmHg
• •Patients unwilling or unable to provide written consent, without available next of kin
• •Cocaine-related chest pain
• •Pregnancy
• •Known diagnosis of active malignancy
• •Acute Bowel Ischemia
• •Severe peripheral vascular disease
• •Acute brain ischemia