Search results for "Troponin"
High-sensitivity troponin-based pathway safe, effective for chest pain patients without CAD
The American College of Cardiology expert consensus decision pathway for chest pain did not meet the criteria for safety among patients with known coronary artery disease (CAD), according to a study conducted in U.S. EDs.
https://acphospitalist.acponline.org/archives/2024/03/27/high-sensitivity-troponin-based-pathway-safe-effective-for-chest-pain-patients-without-cad.htm
27 Mar 2024
3-hour troponin level may help rule out NSTEMI in ED patients triaged to observation
A previously proposed cutoff for 3-hour change in high-sensitivity cardiac troponin T of 7 ng/L missed 66.7% of ED patients with non-ST-segment elevation myocardial infarction (NSTEMI), but a cutoff of 15 ng/L combined with a 0/3-hour absolute change of less than 4 ng/L missed less than 1%.
https://acphospitalist.acponline.org/weekly/archives/2021/08/18/3.htm
18 Aug 2021
High-sensitivity cardiac troponin may be useful for early ruleout of MI
A Scottish study found that length of stay decreased and discharge rates increased when a high-sensitivity cardiac troponin I concentration below 5 ng/L at ED presentation was used to rule out myocardial infarction (MI), although the safety of this strategy could not be proven.
https://acphospitalist.acponline.org/weekly/archives/2021/03/31/3.htm
31 Mar 2021
High-sensitivity troponin testing improved processes, outcomes, hospital studies find
One study found that implementation of high-sensitivity testing reduced five-year mortality among patients with nonischemic myocardial injury, while another showed that it increased serial troponin testing but not hospital admissions.
https://acphospitalist.acponline.org/archives/2023/12/06/high-sensitivity-troponin-testing-improved-processes-outcomes-hospital-studies-find.htm
6 Dec 2023
Elevated troponin I levels during sepsis may indicate risk for postsepsis CV complications
A U.S. retrospective study looked at rates of atherosclerotic disease, atrial fibrillation, and heart failure in the year after sepsis in patients with elevated troponin I levels and no previous diagnosis of cardiovascular (CV) disease.
https://acphospitalist.acponline.org/weekly/archives/2021/06/09/2.htm
9 Jun 2021
Catheters recalled; warning on troponin tests
The FDA announced a recall of certain peripheral catheters due to leaking and warned not to use a cardiac testing panel providing inaccurate troponin measurements, among other recent actions.
https://acphospitalist.acponline.org/archives/2023/08/02/catheters-recalled-warning-on-troponin-tests.htm
2 Aug 2023
High-sensitivity troponin reduced the cascade of cardio interventions after chest pain
An analysis of ED patients found an increase in repeat troponin testing and EKGs, but reductions in CT scans, stress tests, cardiology evaluations, and hospitalizations associated with implementation of high-sensitivity cardiac troponin testing.
https://acphospitalist.acponline.org/weekly/archives/2021/06/23/4.htm
23 Jun 2021
August 2, 2023
ACP Hospitalist provides hospital-based physicians with news and information about the practice of hospital medicine.
https://acphospitalist.acponline.org/archives/2023/08/02/
Elevated troponin levels associated with increased mortality in all age groups
Troponin was directly associated with mortality in patients without acute coronary syndrome and those with acute coronary syndrome who were managed medically. In patients treated invasively, there was a paradoxical decrease in mortality risk at the highest troponin levels.
https://acphospitalist.acponline.org/weekly/archives/2019/11/27/3.htm
27 Nov 2019
May 17, 2023
ACP Hospitalist provides hospital-based physicians with news and information about the practice of hospital medicine.
https://acphospitalist.acponline.org/archives/2023/05/17/