Undetectable hs-cTnT in the Emergency Department and Risk of Myocardial Infarction

[...]at least 21% were hospitalized using unknown criteria, many for as long as 4 to 5 days (mean length of stay was 1.5 days), where it's likely that they underwent further investigation and risk modification despite an initial single negative troponin test. Ultimately, the suggested approach...

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Bibliographic Details
Published in:Journal of the American College of Cardiology 2014-08, Vol.64 (6), p.632-633
Main Authors: Cullen, Louise, MB, BS, Than, Martin, MB, BS, Peacock, W. Frank, MD
Format: Article
Language:English
Subjects:
Acute coronary syndromes
Angina pectoris
Biological and medical sciences
Cardiology
Cardiology. Vascular system
Cardiovascular
Chest Pain - diagnosis
Coronary heart disease
Emergency Service, Hospital
Female
Heart
Heart attacks
Humans
Internal Medicine
Investigations
Male
Medical sciences
Myocardial Infarction - diagnosis
Myocarditis. Cardiomyopathies
Risk Assessment - methods
Troponin T - blood
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Summary:[...]at least 21% were hospitalized using unknown criteria, many for as long as 4 to 5 days (mean length of stay was 1.5 days), where it's likely that they underwent further investigation and risk modification despite an initial single negative troponin test. Ultimately, the suggested approach needs the further support of an interventional trial with accurate follow-up and in which data are collected to measure the effect of the investigators' recommendation. [...]this consideration is validated, the "one and done" troponin strategy should only be considered as hypothesis generating.
ISSN:0735-1097
1558-3597
DOI:10.1016/j.jacc.2014.04.061