Immediate Rule-Out of Acute Myocardial Infarction Using Electrocardiogram and Baseline High-Sensitivity Troponin I
Author(s) -
FranzJosef Neumann,
Nils A. Sörensen,
Francisco Ojeda,
Tjark Schwemer,
Jonas Lehmacher,
Saskia Gönner,
Nikolas Jarsetz,
Till Keller,
S. Schaefer,
Thomas Renné,
Ulf Landmesser,
Peter Clemmensen,
Nataliya Makarova,
Renate B. Schnabel,
Tanja Zeller,
Mahir Karakas,
John W. Pickering,
Martin Than,
William Parsonage,
Jaimi Greenslade,
Louise Cullen,
Dirk Westermann,
Stefan Blankenberg
Publication year - 2016
Publication title -
clinical chemistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.705
H-Index - 218
eISSN - 1530-8561
pISSN - 0009-9147
DOI - 10.1373/clinchem.2016.262659
Subject(s) - medicine , myocardial infarction , cutoff , cardiology , troponin , chest pain , troponin i , population , troponin t , myocardial infarction diagnosis , biomarker , biochemistry , chemistry , physics , environmental health , quantum mechanics
Serial measurements of high-sensitivity troponin are used to rule out acute myocardial infarction (AMI) with an assay specific cutoff at the 99th percentile. Here, we evaluated the performance of a single admission troponin with a lower cutoff combined with a low risk electrocardiogram (ECG) to rule out AMI.
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