Table 2

A comparison of acute myocardial infarction (AMI) and sepsis


AMI
Sepsis

Market issues
Significant publicity surrounding and general awareness of the condition; large trials
Lack of understanding among physicians and the general public
Diagnosis
A relatively straightforward and relatively common diagnosis (electrocardiogram, enzymes, troponin), and one that can be made by generalists, not just cardiology specialists
Complicated by a long list of signs and symptoms and few objective tools for validation
Comorbidities
Generally single organ disease (notable exception when complicated by cardiogenic shock)
Often chronic or acute comorbidities
Physician education
Generalists have been taught to recognize the signs and symptoms of AMI; initial treatment is usually provided by emergency physicians, who are trained to treat these patients
Sepsis patients often come 'second hand' from a specialist who may not be appropriately trained to diagnose, manage, and refer patients with sepsis

Vincent et al. Critical Care 2002 6(Suppl 3):S1   doi:10.1186/cc1860