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The atypical DM group had the greatest dangers of POCE (threat proportion (HR) 1.76, 95% self-confidence period (CI) 1.48-2.1, all-cause death (HR 2.23, 95% CI 1.80-2.76) and any MI (HR 2.34, 95% CI 1.51-3.64) within the adjusted model. In closing, atypical upper body pain had been dramatically connected with death in patients with AMI. Among four teams, the atypical DM group revealed the worst clinical outcomes at 2 years. Application of fast rule in/out AMI protocols will be useful to e