منابع مشابه
High sensitivity cardiac troponin testing.
Bösner and colleagues have presented evidence for a simple rule for ruling out coronary artery disease in the primary care setting. It is noteworthy that no laboratory measurements have been included in their model, with reference to their introductory statement that “ ... electrocardiography and cardiac troponin test are of limited value in primary care... ” This point deserves some discussion...
متن کاملStressing the Utility of High-Sensitivity Cardiac Troponin Testing in Patients with Possible Cardiac Ischemia
Strategies to rule out myocardial infarction (MI)2 in the emergency department include stress test echocardiography, electrocardiography, and assessment of cardiac biomarkers such as troponin I and T (1). The potential for new high-sensitivity cardiac troponin testing to simplify and expedite these rule-out protocols is of great interest. Is all the hype justified? Or are we placing unreasonabl...
متن کاملClinical, organizational and economic analysis of high-sensitivity cardiac troponin testing in the emergency department
The measurement of cardiac troponins (cTns) has become the mainstay for the diagnosis of acute coronary syndrome (ACS), since the assessment of either cardiac troponin T (cTnT) or cardiac troponin I (cTnI) has now outperformed whatever other available biomarker, to be used alone or in combination with cTns (1). This paradigm shift has been strongly supported by recent introduction in clinical p...
متن کاملPatient selection for high sensitivity cardiac troponin testing and diagnosis of myocardial infarction: prospective cohort study
Objective To evaluate how selection of patients for high sensitivity cardiac troponin testing affects the diagnosis of myocardial infarction across different healthcare settings.Design Prospective study of three independent consecutive patient populations presenting to emergency departments.Setting Secondary and tertiary care hospitals in the United Kingdom and United States.Participants High s...
متن کاملHigh-sensitivity cardiac troponin assays: isn't it time for equality?
There are abundant data that women who present with acute coronary events are less frequently diagnosed and have worse outcomes than men (1, 2 ). Part of the problem may be that women are less apt to manifest increased biomarkers when they present and perhaps for that reason, often receive less aggressive guidelinemandated care (3, 4 ). It may be that the reason for this is that women have lowe...
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ژورنال
عنوان ژورنال: Canadian Medical Association Journal
سال: 2010
ISSN: 0820-3946,1488-2329
DOI: 10.1503/cmaj.110-2110