Key result
This review provides a structured overview of early rule-out strategies using cardiac troponin to facilitate discharge of patients with suspected acute coronary syndrome within 3 hours.
This review provides a structured overview of early rule-out strategies for acute coronary syndrome using cardiac troponin testing within 3 hours of presentation.
May aid early discharge in low-risk suspected ACS; leaves open need for prospective safety validation.
Chest pain of suspected cardiac origin is a very common emergency department presentation. Over the past decade, there has been an exponential growth in strategies that promote blood sampling at earlier and earlier time points after presentation to facilitate the rule out of acute coronary syndrome.In part 2 of this series, we examine key concepts from the recent literature with the aim of improving clinicians' understanding of the rule-out strategies available to them and provide a structured overview of strategies that facilitate discharge with blood testing over <3 hours.
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Carlton et al. (2018) conducted a review in Chest pain of suspected cardiac origin / acute coronary syndrome. Early rule-out strategies using cardiac troponin was evaluated. This review provides a structured overview of early rule-out strategies using cardiac troponin to facilitate discharge of patients with suspected acute coronary syndrome within 3 hours.
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