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Contemporary point of care cardiac troponin testing in suspected acute coronary syndrome
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Contemporary point of care cardiac troponin testing in suspected acute coronary syndrome
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Journal Article
Contemporary point of care cardiac troponin testing in suspected acute coronary syndrome
2019
Overview
The higher precision and lower limits of detection afforded by these tests has facilitated the development of pathways which can rule out myocardial infarction at an earlier stage, the majority of which have demonstrated a magnitude of benefits in diagnostic accuracy compared with using the recommended diagnostic threshold (99th centile) alone.3 4 In practical terms, implementation of these approaches requires investment in infrastructure to deliver accurate and timely cardiac troponin results on a high-sensitivity platform which is not always available. Body et al report results from a prospective cohort study evaluating the diagnostic accuracy of the Troponin-only Manchester Acute Coronary Syndrome (T-MACS) decision aid when applied using a contemporary point of care cardiac troponin I assay. [...]in keeping with the majority of studies in this area, the results are based on observational data.
