High-sensitivity troponin T use in non-chest pain presentations in the emergency department

Link to article at PubMed

Emerg Med Australas. 2020 Aug 2. doi: 10.1111/1742-6723.13590. Online ahead of print.


OBJECTIVE: To explore troponin testing yield in patients who present to the ED without chest pain.

METHODS: A retrospective medical record audit of all patients who presented to ED in November 2018 and had troponin measured.

RESULTS: A total of 1124 troponin assays were performed in 763 patients, 48.7% had no documented chest pain; 8.8% of these met high-risk criteria and 1.1% were diagnosed with acute coronary syndrome.

CONCLUSIONS: Despite ED troponin testing in the absence of chest pain being common practice, it rarely assisted in a meaningful diagnosis. Consequences of testing may include delays to patient discharge and additional downstream testing.

PMID:32743981 | DOI:10.1111/1742-6723.13590

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