Were the subjects appropriately selected?

Application to the paper: "Is it possible to exclude a diagnosis of myocardial damage within six hours of admission to an emergency department? Diagnostic cohort study" BMJ 2001;323:372(18 August)

On face, would seem to be appropriately selected but process was very selective if only 383 patients selected over a 1 year period from a busy city ER.

Who was excluded?

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