Use of high‐sensitivity cardiac troponin in the emergency department: A policy resource and education paper (PREP) from the American College of Emergency Physicians

This Policy Resource and Education Paper (PREP) from the American College of Emergency Physicians (ACEP) discusses the use of high‐sensitivity cardiac troponin (hs‐cTn) in the emergency department setting. This brief review discusses types of hs‐cTn assays as well as the interpretation of hs‐cTn in...

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Bibliographic Details
Published in:Journal of the American College of Emergency Physicians Open 2023-08, Vol.4 (4), p.e12999-n/a, Article e12999
Main Authors: Promes, Susan B, Gemme, Seth, Westafer, Lauren, Wolf, Stephen J., Diercks, Deborah B.
Format: Article
Language:English
Subjects:
Acute coronary syndromes
Algorithms
Aortic dissection
Biomarkers
Cardiology
Cardiomyopathy
Decision making
Electrocardiography
Emergency medical care
Heart failure
Ischemia
Kidney diseases
Medical imaging
Mortality
Myocarditis
Observational studies
Patients
Physicians
Pulmonary embolisms
Sepsis
Special Contribution
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Summary:This Policy Resource and Education Paper (PREP) from the American College of Emergency Physicians (ACEP) discusses the use of high‐sensitivity cardiac troponin (hs‐cTn) in the emergency department setting. This brief review discusses types of hs‐cTn assays as well as the interpretation of hs‐cTn in the setting of various clinical factors such as renal dysfunction, sex, and the important distinction between myocardial injury versus myocardial infarction. In addition, the PREP provides one possible example of an algorithm for the use of a hs‐cTn assay in patients in whom the treating clinician is concerned about potential acute coronary syndrome.
ISSN:2688-1152
2688-1152
DOI:10.1002/emp2.12999