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Thursday, October 22, 2015

Rapid MI Rule-Out With hs-Troponin Assay Showcased in Study


A prospective cohort study covering about 6300 patients has identified a particular high-sensitivity (hs) cardiac troponin-I assay's optimal level for predicting which patients with suspected acute coronary syndrome are low risk enough to discharge safely[1]. It found that the assay, performed right away on presentation, could safely make that call in about two-thirds of such patients without the need for serial troponin testing.

"Implementation of this approach would reduce avoidable hospital admission and have major benefits for both patients and healthcare providers," write the authors, led by Dr Anoop Shah (University of Edinburgh, Scotland), in a report published online October 9, 2015, in the Lancet.

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