Implementation of an early rule-out pathway for myocardial infarction using a high-sensitivity cardiac troponin T assay

ObjectivesPatients with suspected acute coronary syndrome and high-sensitivity cardiac troponin (hs-cTn) concentrations below the limit of detection at presentation are low risk. We aim to determine whether implementing this approach facilitates the safe early discharge of patients.MethodsIn a prosp...

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Published in:Open heart 2021-11, Vol.8 (2), p.e001769
Main Authors: Sandeman, Dennis, Syed, Maaz B J, Kimenai, Dorien M, Lee, Kuan Ken, Anand, Atul, Joshi, Shruti S, Dinnel, Lorraine, Wenham, Philip R, Campbell, Ken, Jarvie, Mary, Galloway, Donna, Anderson, Mhairi, Roy, Bappa, Andrews, Jack P M, Strachan, Fiona E, Ferry, Amy V, Chapman, Andrew R, Elsby, Sarah, Francis, Mark, Cargill, Robert, Shah, Anoop S V, Mills, Nicholas L
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Language:eng
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Summary:ObjectivesPatients with suspected acute coronary syndrome and high-sensitivity cardiac troponin (hs-cTn) concentrations below the limit of detection at presentation are low risk. We aim to determine whether implementing this approach facilitates the safe early discharge of patients.MethodsIn a prospective single-centre cohort study, consecutive patients with suspected acute coronary syndrome were included before (standard care) and after (intervention) implementation of an early rule-out pathway. During standard care, myocardial infarction was ruled out if hs-cTnT concentrations were
ISSN:2053-3624
2398-595X
2053-3624