For ruling out acute coronary syndrome in in men less than 40 years , here is 30 second protocol !
All you require is an ECG and some degree of common sense ! ( A flattish T wave is acceptable )
Please note cardiac enzymes are not required to R/O ACS in this group !
Vancouver chest pain rule is a glorified clinical sense !
http://emed.wustl.edu/images/journal_club/2006/September_2006/Vancouver_Chest_Pain_Rule.pdf
Thank you so much, this is very helpfull.