https://acphospitalist.acponline.org/weekly/archives/2016/03/30/1.htm. Troponin alone was highly effective at ruling out acute myocardial infarction and adverse cardiac events within 30 days but would ... 56.2%; P<0.001) and lower specificity (94.0% vs.
more. A novel 1-hour algorithm to rule in or rule out acute myocardial infarction (MI) by incorporating high-sensitivity cardiac troponin T baseline values and changes may have substantially accelerated ... They had high-sensitivity cardiac troponin T
The statement authors proposed a diagnostic algorithm in which patients being evaluated for a suspected acute MI should have the following excluded: clinically overt causes of an elevated troponin level, such ... The statement authors noted that use of
A Class 1 recall of lot #W44467B of Biosite brand Triage Cardiac Panel because it may yield false-negative results with patient samples containing troponin I at very low levels, with
Finally, the guideline concludes with advice on surveillance for perioperative myocardial infarction, recommending troponin measurement and electrocardiogram if a patient has signs or symptoms suggestive of myocardial ischemia or infarction.
While unrelated to VBP, specific documentation of NSTEMI for patients with acute coronary syndrome and elevated troponin levels is also essential for correct DRG assignment and hospital reimbursement when the aggressive
Repeat EKG demonstrated no dynamic changes. Three negative troponin T values (Roche high-sensitivity assay) were obtained over the subsequent 24 hours. ... Cardiac-specific, high-sensitivity troponin has been demonstrated as the principal predictor of
Their troponins are all normal, as are their EKGs. You wonder why these patients need admission when this is obviously musculoskeletal pain and all they need are nonsteroidals.
All had a primary presenting symptom of chest pain, chest tightness, chest burning, or chest pressure, as well as 2 negative troponin tests.
Repeat EKG showed no dynamic changes. Three negative troponin T values (Roche high-sensitivity assay) were obtained over the subsequent 24 hours. ... Cardiac-specific, high-sensitivity troponin has been demonstrated as the principal predictor of early