December 27, 2011JAMA505 citations
View Full PaperSerial Changes in Highly Sensitive Troponin I Assay and Early Diagnosis of Myocardial Infarction
Structured PICO
Does serial measurement of hsTnI or cTnI at admission and 3 hours facilitate early diagnosis of AMI in patients with suspected acute coronary syndrome?
P
Population
patients with suspected acute coronary syndrome
I
Intervention
Serial measurement of hsTnI or cTnI levels from admission to 3 hours after admission (using the 99th percentile diagnostic cutoff value)
O
Outcome
early diagnosis and rule-out of acute myocardial infarction (AMI)
Serial measurement of hsTnI or cTnI at admission and 3 hours later can facilitate the early diagnosis and rule-out of acute myocardial infarction in patients with suspected ACS.
Abstract
Among patients with suspected acute coronary syndrome, hsTnI or cTnI determination 3 hours after admission may facilitate early rule-out of AMI. A serial change in hsTnI or cTnI levels from admission (using the 99th percentile diagnostic cutoff value) to 3 hours after admission may facilitate an early diagnosis of AMI.
Cite This Study
Keller et al. (Tue,) studied this question.