Can a Negative High-Sensitivity Troponin Result Rapidly Rule Out Acute Myocardial Infarction?
نویسندگان
چکیده
منابع مشابه
Immediate Rule-Out of Acute Myocardial Infarction Using Electrocardiogram and Baseline High-Sensitivity Troponin I.
AIMS Serial measurements of high-sensitivity troponin are used to rule out acute myocardial infarction (AMI) with an assay specific cutoff at the 99th percentile. Here, we evaluated the performance of a single admission troponin with a lower cutoff combined with a low risk electrocardiogram (ECG) to rule out AMI. METHODS Troponin I measured with a high-sensitivity assay (hs-TnI) was determine...
متن کاملHigh-sensitivity troponin assays and the early rule-out of acute myocardial infarction
Many patients self-present or are referred by primary care to the emergency department with chest pain because of the potential that they may be suffering an acute myocardial infarction, one of the most common causes of death worldwide. Owing to diagnostic uncertainty, the majority of these patients are admitted, and, in some centres, chest pain is responsible for up to 40% of all unplanned hos...
متن کاملCopeptin adds to high-sensitivity troponin T in rapid rule out of acute myocardial infarction.
Karakas and colleagues (1) reported on copeptin and high-sensitivity troponin T (hsTnT) in a substudy of ROMICAT (Rule Out Myocardial Infarction by Computed Tomography) (2) that evaluated coronary computed tomography for ruling out myocardial infarction in lowto intermediate-risk patients with chest pain who were eligible for coronary computed tomography and subsequent coronary angiography. The...
متن کاملOne-hour rule-out and rule-in of acute myocardial infarction using high-sensitivity cardiac troponin T.
BACKGROUND High-sensitivity cardiac troponin (hs-cTn) assays seem to improve the early diagnosis of acute myocardial infarction (AMI), but it is unknown how to best use them in clinical practice. Our objective was to develop and validate an algorithm for rapid rule-out and rule-in of AMI. METHODS A prospective multicenter study enrolling 872 unselected patients with acute chest pain presentin...
متن کاملHigh-sensitivity troponin assays for the early rule-out or diagnosis of acute myocardial infarction in people with acute chest pain: a systematic review and cost-effectiveness analysis.
BACKGROUND Early diagnosis of acute myocardial infarction (AMI) can ensure quick and effective treatment but only 20% of adults with emergency admissions for chest pain have an AMI. High-sensitivity cardiac troponin (hs-cTn) assays may allow rapid rule-out of AMI and avoidance of unnecessary hospital admissions and anxiety. OBJECTIVE To assess the clinical effectiveness and cost-effectiveness...
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ژورنال
عنوان ژورنال: Annals of Emergency Medicine
سال: 2018
ISSN: 0196-0644
DOI: 10.1016/j.annemergmed.2017.08.049