Risk Stratification Using High-Sensitivity Cardiac Troponin T in Patients With Suspected Acute Coronary Syndrome.

Chapman, Andrew R; Sandeman, Dennis; Ferry, Amy V; Stewart, Stacey; Strachan, Fiona E; Wereski, Ryan; Bularga, Anda; Anand, Atul; Shah, Anoop SV; Mills, Nicholas L; (2020) Risk Stratification Using High-Sensitivity Cardiac Troponin T in Patients With Suspected Acute Coronary Syndrome. Journal of the American College of Cardiology (JACC), 75 (8). pp. 985-987. ISSN 0735-1097 DOI: https://doi.org/10.1016/j.jacc.2019.12.036

Abstract

High-sensitivity cardiac troponin assays allow the early recognition of myocardial injury, and they have facilitated the development of early rule-out pathways to identify patients who do not have acute myocardial infarction. Although international guidelines recommend using the sex-specific 99th centile from a healthy reference population as the diagnostic threshold for myocardial infarction, it is increasingly evident that the use of lower thresholds to risk-stratify patients and rule-out myocardial infarction at presentation is safer and more effective.

Additional Information

Item Type	Article
Faculty and Department	Faculty of Epidemiology and Population Health > Dept of Non-Communicable Disease Epidemiology
PubMed ID	32130935
Elements ID	150221
Official URL	http://dx.doi.org/10.1016/j.jacc.2019.12.036