Nonspecific chest pain ( ) Acute coronary ( ) Health control ( ) valuePlasma sTREM-1 pg/ml, median (i.q range) 402.2 (302.6-572.2) 429.4 (281.7-762.9) 218.9 (181.7-277.0) <0.001 Age, mean (±SD) 54.1 (16.8) 58.4 (11.1) 42.6 (0.5) <0.001 Males, (%) 38 (61.3) 49 (83.1) 39 (53.4) 0.002 IHD, (%) 9 (14.8) 30 (50.8) <0.001 HTN, (%) 21 (33.9) 39 (66.1) 0.001 Diabetes, (%) 6 (9.7) 27 (45.8) <0.001 Dyslipidemia, (%) 25 (40.3) 45 (76.3) <0.001 Statin therapy, (%) 19 (30.6) 39 (66.1) 3 (4.1) <0.001 Smoke status, (%) Current 12 (20.3) 21 (35.6) 0.07 Past 14 (23.7) 13 (22.0) Never 33 (55.9) 25 (42.4) Family history of IHD, (%) 17 (28.8) 31 (55.4) 0.01 Obesity, (%) 10 (24.4) 29 (51.8) 0.01 BMI, mean (±SD) 27.1 (5.0) 28.6 (5.4) 0.21 Clinical presentation Pulmonary edema, (%) 1 (1.6) 1 (1.7) 1.00 Cardiogenic shock, (%) 0 4 (6.8) 0.04 STEMI, (%) 0 22 (37.3) NSTEMI, (%) 0 8 (13.6) Unstable/stable angina 0 29 (49.2) First troponin, median (i.q range) 0.0 (0.0-0.0) 15.0 (0.0-62.0) <0.001 Second troponin, median (i.q range) 0.0 (0.0-21.7) 62.0 (0.0-1621.5) <0.001 hrCRP, median (i.q range) 0.3 (0.1-0.6) 0.3 (0.2-0.7) 0.40 WBC 7.2 (2.1) 8.9 (3.0) 0.001 Creatinine 0.86 (0.22) 0.97 (0.32) 0.86 (0.20) 0.23 Heart score, median (i.q range) 2.0 (1.0-4.0) 5.0 (4.0-6.0) <0.001 Grace score, median (i.q range) 0 100.0 (90.0-120.0) ED treatment Aspirin, (%) 3 (4.8) 41 (69.5) <0.001 Plavix/Brilinta/Effient, (%) 0 (0.0) 18 (30.5) <0.001 Heparin/LMWH, (%) 0 (0.0) 21 (35.6) <0.001 Nitrates, (%) 1 (1.6) 8 (13.6) 0.01