The role of cardiac troponin I in determining the necessity for exercise electrocardiography in low risk patients with chest pain

2000 ◽  
Vol 169 (3) ◽  
pp. 173-175 ◽  
Author(s):  
S. M. Fleming ◽  
M. Divilly ◽  
P. I. Chakravarthi ◽  
H. Grimes ◽  
K. Daly
Keyword(s):  
Chest Pain ◽  
Cardiac Troponin ◽  
Troponin I ◽  
Cardiac Troponin I ◽  
Low Risk ◽  
Exercise Electrocardiography ◽  
Risk Patients

scholarly journals The role of myeloperoxidase (MPO) for prognostic evaluation in sensitive cardiac troponin I negative chest pain patients in the emergency department

2013 ◽  
Vol 2 (3) ◽  
pp. 203-210 ◽  
Author(s):  
Julia Searle ◽  
Jessie Shih ◽  
Reinhold Muller ◽  
Jörn O Vollert ◽  
Christian Müller ◽  
...  
Keyword(s):  
Emergency Department ◽  
Chest Pain ◽  
Cardiac Troponin ◽  
Troponin I ◽  
Cardiac Troponin I ◽  
Prognostic Evaluation ◽  
Pain Patients

scholarly journals DIAGNOSTIC AND PROGNOSTIC IMPLICATIONS OF UTILIZING A HIGH SENSITIVE CARDIAC TROPONIN I ASSAY FOR EVALUATION OF “LOW-RISK” CHEST PAIN PATIENTS

2011 ◽  
Vol 57 (14) ◽  
pp. E1017
Author(s):  
Christopher R. De Filippi ◽  
Samantha Wood ◽  
Puneet Gandotra ◽  
MaryLou Gantzer ◽  
Robert Gorman ◽  
...  
Keyword(s):  
Chest Pain ◽  
Cardiac Troponin ◽  
Troponin I ◽  
Cardiac Troponin I ◽  
Low Risk ◽  
Prognostic Implications ◽  
Pain Patients

Outcome of low-risk patients discharged home after a normal cardiac troponin I

2004 ◽  
Vol 26 (4) ◽  
pp. 401-406 ◽  
Author(s):  
Stephen W Smith ◽  
Carrie D Tibbles ◽  
Fred S Apple ◽  
Marsha Zimmerman
Keyword(s):  
Cardiac Troponin ◽  
Troponin I ◽  
Cardiac Troponin I ◽  
Low Risk ◽  
Risk Patients

Coronary artery disease in patients with chest pain who have low-risk clinical characteristics and negative cardiac troponin I

2001 ◽  
Vol 19 (2) ◽  
pp. 118-121 ◽  
Author(s):  
Graham S. Hillis ◽  
Craig Oliner ◽  
Brian J. O'Neil ◽  
Vinu Pansuriya ◽  
Pamela Taggart ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Chest Pain ◽  
Coronary Artery ◽  
Cardiac Troponin ◽  
Clinical Characteristics ◽  
Troponin I ◽  
Cardiac Troponin I ◽  
Low Risk ◽  
Artery Disease

scholarly journals Comparison Between Emergency Severity Index Plus Cardiac Troponin I Rapid Test and Emergency Severity Index in Patients Presenting with Low-Risk Chest Pain: A Randomized Clinical Trial

2021 ◽  
Vol 18 (3) ◽  
Author(s):  
Mahshid Shariati ◽  
Amir Mirhaghi ◽  
Hossein Tavalaei ◽  
Javad Malekzadeh
Keyword(s):  
Clinical Trial ◽  
Chest Pain ◽  
Randomized Clinical Trial ◽  
Cardiac Troponin ◽  
Troponin I ◽  
Rapid Test ◽  
Severity Index ◽  
Cardiac Troponin I ◽  
Low Risk ◽  
Emergency Severity Index

Background: There is difficulty in identifying low-risk patients with acute coronary syndrome in the emergency department (ED). Objectives: The aim of this study was to compare mistriage between the Emergency Severity Index (ESI) plus the cardiac troponin I rapid test (cTnI) and ESI among patients with chest pain. Methods: A randomized clinical trial was conducted from January to April 2019. One hundred patients with low-risk chest pain were randomly allocated to the ESI + cTnI and ESI groups. Triage levels, used resources, and mistriage rate were compared between both groups among patients discharged from the ED and admitted to the cardiac unit (CU) or coronary care unit (CCU). Results: Our samples included 100 patients (age: 52.9 ± 13.92 years; 51% female) who were equally assigned to the ESI + cTnI and ESI groups. Overtriage rate was 6% and 88% for the ESI + cTnI and ESI groups, respectively. The triage level between the ESI + cTnI and ESI groups was significantly different among patients who were discharged from the ED (3.92 vs. 3.00). Conclusions: The ESI + cTnI score seems to be more valid than the ESI scale to triage patients with low-risk chest pain. It is recommended to add cTnI to the ESI for the triage of patients with low-risk chest pain in the ED.

scholarly journals An accelerated diagnostic protocol for the early, safe discharge of low-risk chest pain patients

CJEM ◽  
2015 ◽  
Vol 17 (4) ◽  
pp. 447-450 ◽  
Author(s):  
Tawfeeq Altherwi ◽  
Willis B. Grad
Keyword(s):  
Chest Pain ◽  
Cardiac Troponin ◽  
Troponin I ◽  
Early Discharge ◽  
Low Risk ◽  
Clinical Question ◽  
Diagnostic Protocol ◽  
Risk Patients ◽  
Pain Symptoms ◽  
Pain Patients

Clinical QuestionCan an accelerated 2-hour diagnostic protocol using the cardiac troponin I (cTnI) measurement as the only biomarker be implemented to allow an earlier and safe discharge of low-risk chest pain patients?Article ChosenThan M, Cullen L, Aldous S, et al. 2-Hour accelerated diagnostic protocol to assess patients with chest pain symptoms using contemporary troponins as the only biomarker: the ADAPT trial. J Am Coll Cardiol 2012;59(23):2091-8.ObjectiveTo determine whether an accelerated diagnostic protocol (ADP) for possible cardiac chest pain could identify low-risk patients suitable for early discharge using cTnI as the sole biomarker.

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