Top Things to Know: 2022 Key Data Elements and Definitions for Chest Pain and AMI

Published: August 30, 2022

  1. This document presents a clinical lexicon comprising data elements related to chest pain and acute myocardial infarction, in the sense and context of how these terms are used in the recently released guideline: "2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the Evaluation and Diagnosis of Chest Pain."
  2. This lexicon follows the plans contained in the new chest pain guideline. Not all conceivable types and causes of chest pain are considered here.
  3. This lexicon is designed to focus on serious cardiovascular causes of chest pain as they might be encountered in emergency departments and other clinical settings.
  4. Data elements for etiology of chest pain syndromes are enumerated for potentially serious cardiac, as well as certain noncardiac, causes.
  5. Data elements are grouped into 3 broad categories as outlined in the new guideline: chest pain, myocardial injury, myocardial infarction.
  6. Data elements for patient demographics, history, cardiovascular risk factors, laboratory testing, and revascularization or other therapies are not included here as they have been the subjects of other published references.
  7. The terms “typical” and “atypical” as descriptors of chest pain or anginal syndromes are not used here. In keeping with the new chest pain guideline, the terms “cardiac,” “possible cardiac,” and “noncardiac” are used for categorizing chest pain syndromes.
  8. Data elements for risk stratification scoring according to several common risk scoring algorithms are included.
  9. Data elements for procedure-related myocardial injury and procedure-related myocardial infarction are included.
  10. This clinical lexicon and data standard should be broadly applicable in various settings, including patient care, electronic health records, quality and performance improvement initiatives, registries, and public reporting programs.


Anderson HV, Masri SC, Abdallah MS, Chang AM, Cohen MG, Elgendy IY, Gulati M, LaPoint K, Madan N, Moussa ID, Ramirez J, Simon AW, Singh V, Waldo SW, Williams MS. 2022 ACC/AHA key data elements and definitions for chest pain and acute myocardial infarction: a report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Data Standards. Circ Cardiovasc Qual Outcomes. 2022;15:e000112. doi: 10.1161/HCQ.0000000000000112