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Single Troponin Test May Be Enough for Safe Discharge of Chest Pain Patients


February 25, 2021
Assisted by the HEART score, emergency physicians appear to be able to safely discharge patients with chest pain after just one negative conventional troponin test result, a retrospective cohort study suggests.
The 30-day rate of acute MI or cardiac mortality was similar regardless of whether patients had one troponin test or underwent serial testing in the emergency department (0.4% in both groups), researchers report.
Clinical guidelines recommend serial troponin testing in patients presenting with symptoms indicative of ACS, but these findings suggest that a single negative test when combined with risk-stratification tools like the HEART score and a physician’s clinical judgment might be good enough, senior author Adam Sharp, MD (Kaiser Permanente Southern California, Pasadena, CA), told TCTMD. ....

United States , Los Angeles , Barbra Backus , Maereg Wassie , Phd Erasmus Medical Center , Beckman Coulter , Los Angeles Medical Center , Adam Sharp , Kaiser Permanente Southern California , Erasmus Medical Center , ஒன்றுபட்டது மாநிலங்களில் , லாஸ் ஏஞ்சல்ஸ் , பார்பரா பாக்குச் , ஃப்ட் ஈராஸ்மஸ் மருத்துவ மையம் , பெக்மேன் கூல்டர் , லாஸ் ஏஞ்சல்ஸ் மருத்துவ மையம் , பண்படாமனித இயல்பு கூர்மையான , கைசர் நிரந்தர தெற்கு கலிஃபோர்னியா , ஈராஸ்மஸ் மருத்துவ மையம் ,