Acute coronary syndrome without ST elevation (NSTEMI)
Bibliographic record
Abstract
INTRODUCTION: Term acute coronary syndrome refers to aggregate of clinical syndrome which are caused by abrupt(acute) circulatory disorder in coronary arteries with subsuquent ischaemia of corresponding parts of myocard. It covers spectrum from nonstable angina pectoris and myocardial infarction without ST elevation(NSTEMI) to myocardial infarction with ST elevation (STEMI) CASE REPORT: We have shown the case of 58y/o man with acute coronary syndrome without ST elevation (NSTEMI). During his usually everyday stroll, patient felt intense chest pain which radiated to arms, accompanied with shortness of breath and diaphoresis. Twenty minutes after the onset of pain, he checked into the ambulance. ECG has been recorded, which has shown the following: sinus rhythm, heart rate 79 bpm, ST depression in V4 and V4 and T-wave inversion in V1-V2. Blood pressure was 140/80 mmHg. Peripheral venous line was inserted along with nasal catheter for oxygen administration with flow rate of 4 liters per minute. Nitroglycerine spray with single dose of 0.4 mg was administered and andol pill (300 mg) was given per os. Patient was rushed to ER. In ER blood sample was taken and it has detected elevated cardiac troponin levels; heart ultrasonography was performed and patient was admitted to Center for cardiology. Coronarography was performed, occlusion of coronary arteries was detected(two- vessel disease), which was treated with myocardial revascularisation. CONCLUSION: As it resulted from this case study, diagnosis of acute coronary syndrome is based on thoroughly taken medical history, focused physical examination, evaluation of risk factors and adequate diagnostic tests. The key diagnostic procedure in patient with suspected acute coronary syndrome was recording of rest-ECG. In all patients with chest pain, ECG must be recorded, not longer than 10 minutes upon arrival to the ambulance . If ECG is normal, recording should be repeated in 6 and 12 hours.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.007 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".