This study was a retrospective chart review of the existing electronic medical records of our patients who visited the emergency department for chest pain suspicious of ACS. We compared the differences in delta hs-cTnT and association of coronary artery disease (CAD) and percutaneous coronary intervention (PCI) in patients who presented with chest pain with or without CKD who were seen in our healthcare system between July 1, 2019 and December 31, 2019. The inclusion criteria were adult patients of age 18 years, or older, who presented with chest pain and had elevated hs-cTnT levels. The exclusion criteria were patients who were younger than 18 years of age, or who presented with other causes of chest pain, such as pulmonary embolism, pericarditis, aortic dissection, pleuritic, chest trauma, etc., as well as patients who were pregnant, or who had heart transplantation. The study was reviewed and approved by the Institutional Review Board of the Cooper University Health Care (CUHC), Camden, New Jersey, USA. This study was fully compliant with the ethical standards set forth by the CUHC Institutional Review Board.

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