Why the study?
Does the combination of serial troponin T levels and echocardiography improve the prediction of adverse cardiac events compared to either test alone in patients presenting to the emergency department with chest discomfort?
Population
100 patients presenting to the emergency department with chest discomfort and admitted to the hospital.
Comparison
Combination of serial cardiac troponin T… vs Isolated results of TnT or echocardiography…
Design
Cohort, Echocardiogram images reviewed in a blinded fashion for wall-motion…
Authors
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May refine adverse event prediction in ED chest discomfort; hypothesis-generating and requires prospective validation before practice change.
Does the combination of serial troponin T levels and echocardiography improve the prediction of adverse cardiac events compared to either test alone in patients presenting to the emergency department with chest discomfort?
The combination of serial troponin T levels and echocardiography provides superior predictive value for adverse cardiac events in emergency department patients with chest discomfort compared to either test alone.
Mohler et al. (1998) studied this question.
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