A Risk Assessment Score and Initial High-sensitivity Troponin Combine to Identify Low Risk of Acute Myocardial Infarction in the Emergency Department

Author:

Pickering John W.12,Flaws Dylan34,Smith Stephen W.5,Greenslade Jaimi6,Cullen Louise6,Parsonage William7,Carlton Edward8,Mark Richards A.29,Troughton Richard2,Pemberton Christopher2,George Peter M.10,Than Martin P.1

Affiliation:

1. Emergency Department; Christchurch Hospital; Christchurch New Zealand

2. Christchurch Heart Institute; University of Otago; Christchurch New Zealand

3. Department of Mental Health; Royal Brisbane and Women's Hospital; Brisbane Australia

4. University of Queensland; Brisbane Australia

5. Department of Emergency Medicine; Hennepin County Medical Center; Minneapolis MN

6. Emergency Department; Royal Brisbane and Women's Hospital; Brisbane Australia

7. Cardiology Department; Royal Brisbane and Women's Hospital; Brisbane Australia

8. Emergency Department; Southmead Hospital; North Bristol NHS Trust; Bristol UK

9. Cardiovascular Research Institute; National University of Singapore; Singapore

10. Department of Pathology; University of Otago; Christchurch New Zealand

Funder

Health Research Council of New Zealand

Christchurch Heart Institute

Canterbury Medical Research Foundation

Canterbury District Health Board

Queensland Emergency Medicine Research Foundation

Emergency Care Foundation

Publisher

Wiley

Subject

Emergency Medicine,General Medicine

Reference48 articles.

1. Chest pain in the emergency room: value of the HEART score;Six;Neth Heart J,2008

2. 2-hour accelerated diagnostic protocol to assess patients with chest pain symptoms using contemporary troponins as the only biomarker: the ADAPT trial;Than;J Am Coll Cardiol,2012

3. Effectiveness of EDACS versus ADAPT accelerated diagnostic pathways for chest pain: a pragmatic randomized controlled trial embedded within practice;Than;Ann Emerg Med,2016

4. Myocardial infarction (acute): early rule out using high-sensitivity troponin tests (Elecsys Troponin T high-sensitive, ARCHITECT STAT High Sensitive Troponin-I and AccuTnI+3 assays) (DG15) [Internet] 2015 http://nice.org.uk/guidance/dg15

5. 2015 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: Task Force for the Management of Acute Coronary Syndromes in Patients Presenting without Persistent ST-Segment Elevation of the European Society of Cardiology (ESC);Roffi;Eur Heart J,2016

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