Use of high‐sensitivity cardiac troponin in the emergency department: A policy resource and education paper (PREP) from the American College of Emergency Physicians

Author:

Promes Susan B1ORCID,Gemme Seth2ORCID,Westafer Lauren2,Wolf Stephen J.3,Diercks Deborah B.4

Affiliation:

1. Department of Emergency Medicine Penn State College of Medicine Hershey Pennsylvania USA

2. Department of Emergency Medicine UMass Chan Medical School‐Baystate Springfield Massachusetts USA

3. Department of Emergency Medicine Denver Health Medical Center Denver Colorado USA

4. Department of Emergency Medicine University of Texas Southwestern Medical Center Dallas Texas USA

Abstract

AbstractThis Policy Resource and Education Paper (PREP) from the American College of Emergency Physicians (ACEP) discusses the use of high‐sensitivity cardiac troponin (hs‐cTn) in the emergency department setting. This brief review discusses types of hs‐cTn assays as well as the interpretation of hs‐cTn in the setting of various clinical factors such as renal dysfunction, sex, and the important distinction between myocardial injury versus myocardial infarction. In addition, the PREP provides one possible example of an algorithm for the use of a hs‐cTn assay in patients in whom the treating clinician is concerned about potential acute coronary syndrome.

Funder

American College of Emergency Physicians

Publisher

Wiley

Subject

Emergency Medicine

Reference31 articles.

1. Centers for Disease Control and Prevention.Health United States 2019: Table 6. Leading causes of death and numbers of deaths by sex race and Hispanic origin: United States 1980 and 2018. Published June 1 2019. Accessed April 18 2023.https://www.cdc.gov/nchs/data/hus/2019/006‐508.pdf

2. Fourth Universal Definition of Myocardial Infarction (2018)

3. Vasile V Jaffe A. High‐sensitivity cardiac troponin in the evaluation of possible AMI. American College of Cardiology. Published June 16 2018. Accessed March 6 2023.https://www.acc.org/latest‐in‐cardiology/articles/2018/07/16/09/17/high‐sensitivity‐cardiac‐troponin‐in‐the‐evaluation‐of‐possible‐ami

4. Welsh P Preiss D Sattar N. Utility of high‐sensitivity troponin T and I: Are they the same? American College of Cardiology. Published November 21 2019. Accessed April 19 2023.https://www.acc.org/latest‐in‐cardiology/articles/2019/11/21/07/26/utility‐of‐high‐sensitivity‐troponin‐t‐and‐I

5. Discordance of High-Sensitivity Troponin Assays in Patients With Suspected Acute Coronary Syndromes

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